08D2092641 CLIA NUMBER - AMERICAN UNIVERSAL-HOCKESSIN, LLC

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Laboratory Demographics

CLIA Number: 08D2092641

Facility Name: AMERICAN UNIVERSAL-HOCKESSIN, LLC

Facility Address:
5936 LIMESTONE ROAD, SUITE 101
HOCKESSIN, DE
ZIP 19707
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Facility Phone Number: 302 239-4106

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1730577214

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	08D2092641
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	AMERICAN UNIVERSAL-HOCKESSIN, LLC
Street	5936 LIMESTONE ROAD, SUITE 101
City	HOCKESSIN
State	DE
ZIP	19707
Phone	302 239-4106
CertificateType	4
CertificateEffectiveDate	3/10/2023
CertificateExpirationDate	3/9/2025
FacilityType	Waiver

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