08D2187648 CLIA NUMBER - STATE STREET ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 08D2187648
  • Facility Name: STATE STREET ASSISTED LIVING
  • Facility Address: 21 N STATE STREET
    DOVER, DE
    ZIP 19901
  • Facility Phone: 302 674-2144
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: REBECCA E. THOMAS
  • NPI Number: 1851763718
  • Taxonomy: 310400000X - Assisted Living Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 08D2187648
LAB Type Assisted Living Facility
Facility Name STATE STREET ASSISTED LIVING
Street 21 N STATE STREET
City DOVER
State DE
ZIP 19901
Phone 302 674-2144
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2024
Certificate Expiration Date 7/5/2026
Facility Type Assisted Living Facility
Lab Director REBECCA E. THOMAS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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