08D1091063 CLIA NUMBER - INCENDIUM, LLC

Laboratory Demographics

  • CLIA Code: 08D1091063
  • Facility Name: INCENDIUM, LLC
  • Facility Address: 1695 S STATE STREET, SUITE B
    DOVER, DE
    ZIP 19901
  • Facility Phone: 302 465-7737
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: FADY GERGES
  • NPI Number: 1912215542
  • Taxonomy: 2086S0122X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 08D1091063
LAB Type Independent
Facility Name INCENDIUM, LLC
Street 1695 S STATE STREET, SUITE B
City DOVER
State DE
ZIP 19901
Phone 302 465-7737
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/14/2023
Certificate Expiration Date 10/31/2025
Facility Type Independent
Lab Director FADY GERGES

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