08D1102143 CLIA NUMBER - PREMIER PEDIATRICS

Laboratory Demographics

  • CLIA Code: 08D1102143
  • Facility Name: PREMIER PEDIATRICS
  • Facility Address: 2600 GLASGOW AVENUE, SUITE 213
    NEWARK, DE
    ZIP 19702
  • Facility Phone: 302 437-5883
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRADLEY J. SMITH, MD
  • NPI Number: 1811133341
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 08D1102143
LAB Type Physician Office
Facility Name PREMIER PEDIATRICS
Street 2600 GLASGOW AVENUE, SUITE 213
City NEWARK
State DE
ZIP 19702
Phone 302 437-5883
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2025
Certificate Expiration Date 7/12/2027
Facility Type Physician Office
Lab Director BRADLEY J. SMITH, MD

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