08D2108657 CLIA NUMBER - MW WELLNESS XI, LLC MEDI-WEIGHTLOSS OF HOCKESSIN

Laboratory Demographics

  • CLIA Code: 08D2108657
  • Facility Name: MW WELLNESS XI, LLC MEDI-WEIGHTLOSS OF HOCKESSIN
  • Facility Address: 304 LANTANA DRIVE
    HOCKESSIN, DE
    ZIP 19707
  • Facility Phone: 302 763-3455
  • Facility Type: Other - WEIGHT LOSS CLINIC
  • Facility Type: Waiver
  • Lab Director: BRIAN JANNEY
  • NPI Number: 1649749094
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 08D2108657
LAB Type Other - WEIGHT LOSS CLINIC
Facility Name MW WELLNESS XI, LLC MEDI-WEIGHTLOSS OF HOCKESSIN
Street 304 LANTANA DRIVE
City HOCKESSIN
State DE
ZIP 19707
Phone 302 763-3455
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2024
Certificate Expiration Date 2/8/2026
Facility Type Other - WEIGHT LOSS CLINIC
Lab Director BRIAN JANNEY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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