08D2149483 CLIA NUMBER - ATLANTIC FAMILY PHYSICIANS

Laboratory Demographics

  • CLIA Code: 08D2149483
  • Facility Name: ATLANTIC FAMILY PHYSICIANS
  • Facility Address: 12001 OLD VINE BLVD
    LEWES, DE
    ZIP 19958
  • Facility Phone: 302 856-4092
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. FABRICIO J. ALARCON
  • NPI Number: 1457491656
  • Taxonomy: 103TC0700X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 08D2149483
LAB Type Physician Office
Facility Name ATLANTIC FAMILY PHYSICIANS
Street 12001 OLD VINE BLVD
City LEWES
State DE
ZIP 19958
Phone 302 856-4092
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/5/2024
Certificate Expiration Date 6/4/2026
Facility Type Physician Office
Lab Director DR. FABRICIO J. ALARCON

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