08D2145361 CLIA NUMBER - DOVER UNIVERSAL, LLC

Laboratory Demographics

  • CLIA Code: 08D2145361
  • Facility Name: DOVER UNIVERSAL, LLC
  • Facility Address: 107 MONT BLANC BOULEVARD, SUITE 100
    DOVER, DE
    ZIP 19904
  • Facility Phone: 302 674-2074
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. MANISH GARG
  • NPI Number: 1275022337
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 08D2145361
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DOVER UNIVERSAL, LLC
Street 107 MONT BLANC BOULEVARD, SUITE 100
City DOVER
State DE
ZIP 19904
Phone 302 674-2074
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2024
Certificate Expiration Date 3/5/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. MANISH GARG

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