08D1075336 CLIA NUMBER - SETH L IVINS, MD

Laboratory Demographics

  • CLIA Code: 08D1075336
  • Facility Name: SETH L IVINS, MD
  • Facility Address: 1415 FOULK ROAD #101
    WILMINGTON, DE
    ZIP 19803
  • Facility Phone: 302 658-4778
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SETH L. IVINS, MD
  • NPI Number: 1235172966
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 08D1075336
LAB Type Physician Office
Facility Name SETH L IVINS, MD
Street 1415 FOULK ROAD #101
City WILMINGTON
State DE
ZIP 19803
Phone 302 658-4778
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2025
Certificate Expiration Date 10/17/2027
Facility Type Physician Office
Lab Director SETH L. IVINS, MD

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This page was last updated on: 9/29/2025