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08D2098064 CLIA NUMBER - DELAWARE CENTER OF EXCELLENCE IN OBSTETRICS AND GYNECOLOGY

Laboratory Demographics

CLIA Number: 08D2098064

Facility Name: DELAWARE CENTER OF EXCELLENCE IN OBSTETRICS AND GYNECOLOGY

Facility Address:
7195 CEDAR CREEK ROAD
LINCOLN, DE
ZIP 19960
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Facility Phone Number: 540 604-3872

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1982086773

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name Field Value
CLIA Number 08D2098064
LAB Type Physician Office
Facility Name DELAWARE CENTER OF EXCELLENCE IN OBSTETRICS AND GYNECOLOGY
Street 7195 CEDAR CREEK ROAD
City LINCOLN
State DE
ZIP 19960
Phone 540 604-3872
CertificateType 4
CertificateEffectiveDate 6/30/2023
CertificateExpirationDate 6/29/2025
FacilityType Waiver

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