08D2158633 CLIA NUMBER - ENDOVASCULAR CONSULTANTS, LLC

Laboratory Demographics

  • CLIA Code: 08D2158633
  • Facility Name: ENDOVASCULAR CONSULTANTS, LLC
  • Facility Address: 701 NORTH CLAYTON STREET, MSB SUITE 601
    WILMINGTON, DE
    ZIP 19805
  • Facility Phone: (302) 575-8368
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MARK J. GARCIA
  • NPI Number: 1467995514
  • Taxonomy: 2085R0204X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 08D2158633
LAB Type Physician Office
Facility Name ENDOVASCULAR CONSULTANTS, LLC
Street 701 NORTH CLAYTON STREET, MSB SUITE 601
City WILMINGTON
State DE
ZIP 19805
Phone 3025758368
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2024
Certificate Expiration Date 12/3/2026
Facility Type Physician Office
Lab Director DR. MARK J. GARCIA

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This page was last updated on: 5/18/2026