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08D2109833 CLIA NUMBER - VICDANIA HEALTH SERVICES LLC

Laboratory Demographics

CLIA Number: 08D2109833

Facility Name: VICDANIA HEALTH SERVICES LLC

Facility Address:
1019 SOUTH GOVERNORS AVENUE
DOVER, DE
ZIP 19904
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Facility Phone Number: 302 724-5954

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1194120238

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 08D2109833
LAB Type Home Health Agency
Facility Name VICDANIA HEALTH SERVICES LLC
Street 1019 SOUTH GOVERNORS AVENUE
City DOVER
State DE
ZIP 19904
Phone 302 724-5954
CertificateType 4
CertificateEffectiveDate 3/3/2024
CertificateExpirationDate 3/2/2026
FacilityType Waiver

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