08D2163313 CLIA NUMBER - SAVIDA HEALTH PC

Laboratory Demographics

CLIA Number: 08D2163313

Facility Name: SAVIDA HEALTH PC

Facility Address:
4923 OGLETOWN STANTON ROAD, SUITE 110
NEWARK, DE
ZIP 19713
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Facility Phone Number: 413 236-9100

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1396201000

Taxonomy: 207RA0401X - Internal Medicine
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

CLIA Record

Field Name	Field Value
CLIA Number	08D2163313
LAB Type	Physician Office
Facility Name	SAVIDA HEALTH PC
Street	4923 OGLETOWN STANTON ROAD, SUITE 110
City	NEWARK
State	DE
ZIP	19713
Phone	413 236-9100
CertificateType	4
CertificateEffectiveDate	3/12/2023
CertificateExpirationDate	3/11/2025
FacilityType	Waiver

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