08D2027804 CLIA NUMBER - DELAWARE BACK PAIN & SPORTS REHABILITATION CENTERS OMEGA SITE

Laboratory Demographics

  • CLIA Code: 08D2027804
  • Facility Name: DELAWARE BACK PAIN & SPORTS REHABILITATION CENTERS OMEGA SITE
  • Facility Address: 87 OMEGA DRIVE, SUITE B
    NEWARK, DE
    ZIP 19713
  • Facility Phone: 302 733-0980
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BARRY L. BAKST
  • NPI Number: 1184946394
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 08D2027804
LAB Type Physician Office
Facility Name DELAWARE BACK PAIN & SPORTS REHABILITATION CENTERS OMEGA SITE
Street 87 OMEGA DRIVE, SUITE B
City NEWARK
State DE
ZIP 19713
Phone 302 733-0980
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2025
Certificate Expiration Date 8/1/2027
Facility Type Physician Office
Lab Director BARRY L. BAKST

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