08D2091785 CLIA NUMBER - FIRST STATE GASTROENTEROLOGY ASSOCIATION

Laboratory Demographics

  • CLIA Code: 08D2091785
  • Facility Name: FIRST STATE GASTROENTEROLOGY ASSOCIATION
  • Facility Address: 644 SOUTH QUEEN STREET, SUITE 106
    DOVER, DE
    ZIP 19904
  • Facility Phone: 302 678-9002
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. LODHAVIA PARAG
  • NPI Number: 1023406055
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 08D2091785
LAB Type Physician Office
Facility Name FIRST STATE GASTROENTEROLOGY ASSOCIATION
Street 644 SOUTH QUEEN STREET, SUITE 106
City DOVER
State DE
ZIP 19904
Phone 302 678-9002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/19/2025
Certificate Expiration Date 2/18/2027
Facility Type Physician Office
Lab Director DR. LODHAVIA PARAG

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