08D1100668 CLIA NUMBER - TIDALHEALTH PRIMARY CARE-GEORGETOWN

Laboratory Demographics

  • CLIA Code: 08D1100668
  • Facility Name: TIDALHEALTH PRIMARY CARE-GEORGETOWN
  • Facility Address: 503 WEST MARKET STREET
    GEORGETOWN, DE
    ZIP 19947
  • Facility Phone: (302) 297-2588
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JESSICA W. BAXTER

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CLIA Record

Field Name Field Value
CLIA Number 08D1100668
LAB Type Physician Office
Facility Name TIDALHEALTH PRIMARY CARE-GEORGETOWN
Street 503 WEST MARKET STREET
City GEORGETOWN
State DE
ZIP 19947
Phone 3022972588
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2024
Certificate Expiration Date 9/16/2026
Facility Type Physician Office
Lab Director JESSICA W. BAXTER

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This page was last updated on: 6/29/2026