08D2048655 CLIA NUMBER - AT HOME INFUCARE, LLC

Laboratory Demographics

  • CLIA Code: 08D2048655
  • Facility Name: AT HOME INFUCARE, LLC
  • Facility Address: 111 WOLF CREEK BLVD, SUITE 1
    DOVER, DE
    ZIP 19901
  • Facility Phone: 302 883-2059
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MR. ACHIAMBO V. NGUATEM
  • NPI Number: 1649521022
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 08D2048655
LAB Type Home Health Agency
Facility Name AT HOME INFUCARE, LLC
Street 111 WOLF CREEK BLVD, SUITE 1
City DOVER
State DE
ZIP 19901
Phone 302 883-2059
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2024
Certificate Expiration Date 10/21/2026
Facility Type Home Health Agency
Lab Director MR. ACHIAMBO V. NGUATEM

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