08D2079477 CLIA NUMBER - LIFE HEALTH CENTER, THE

Laboratory Demographics

  • CLIA Code: 08D2079477
  • Facility Name: LIFE HEALTH CENTER, THE
  • Facility Address: 1624 JESSUP STREET, LOWER LEVEL
    WILMINGTON, DE
    ZIP 19802
  • Facility Phone: 302 407-5316
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: DR. MWAZHUWA KURETU
  • NPI Number: 1013586106
  • Taxonomy: 261QS1000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 08D2079477
LAB Type Community Clinic
Facility Name LIFE HEALTH CENTER, THE
Street 1624 JESSUP STREET, LOWER LEVEL
City WILMINGTON
State DE
ZIP 19802
Phone 302 407-5316
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/17/2024
Certificate Expiration Date 6/16/2026
Facility Type Community Clinic
Lab Director DR. MWAZHUWA KURETU

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