08D2164063 CLIA NUMBER - DELMARVA DERMATOLOGY, LLC

Laboratory Demographics

  • CLIA Code: 08D2164063
  • Facility Name: DELMARVA DERMATOLOGY, LLC
  • Facility Address: 96 ATLANTIC AVENUE, SUITE 103
    OCEAN VIEW, DE
    ZIP 19970
  • Facility Phone: 302 402-3015
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. JENNIFER Z. COOPER
  • NPI Number: 1568922672
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 08D2164063
LAB Type Physician Office
Facility Name DELMARVA DERMATOLOGY, LLC
Street 96 ATLANTIC AVENUE, SUITE 103
City OCEAN VIEW
State DE
ZIP 19970
Phone 302 402-3015
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/27/2025
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. JENNIFER Z. COOPER

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