08D2025520 CLIA NUMBER - CHRISTIANACARE-GOHEALTH URGENT CARE SMYRNA

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Laboratory Demographics

CLIA Number: 08D2025520

Facility Name: CHRISTIANACARE-GOHEALTH URGENT CARE SMYRNA

Facility Address:
300 JIMMY DRIVE SUITE 100
SMYRNA, DE
ZIP 19977
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Facility Phone Number: 302 273-1163

Facility Type: Other - URGENT CARE

Certificate Type: Waiver

NPI Number: 1962175414

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	08D2025520
LAB Type	Other - URGENT CARE
Facility Name	CHRISTIANACARE-GOHEALTH URGENT CARE SMYRNA
Street	300 JIMMY DRIVE SUITE 100
City	SMYRNA
State	DE
ZIP	19977
Phone	302 273-1163
CertificateType	4
CertificateEffectiveDate	6/10/2023
CertificateExpirationDate	6/9/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024