08D1086658 CLIA NUMBER - BEACON PEDIATRICS, LLC

Laboratory Demographics

  • CLIA Code: 08D1086658
  • Facility Name: BEACON PEDIATRICS, LLC
  • Facility Address: 18947 JOHN H WILLIAMS HWY, SUITE 212
    REHOBOTH BEACH, DE
    ZIP 19971
  • Facility Phone: 302 645-8212
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NANCY M. GIDEON
  • NPI Number: 1689959538
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 08D1086658
LAB Type Physician Office
Facility Name BEACON PEDIATRICS, LLC
Street 18947 JOHN H WILLIAMS HWY, SUITE 212
City REHOBOTH BEACH
State DE
ZIP 19971
Phone 302 645-8212
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2024
Certificate Expiration Date 7/15/2026
Facility Type Physician Office
Lab Director NANCY M. GIDEON

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