08D2194161 CLIA NUMBER - DELAWARE SLEEP DISORDER CNTRS -BRANDYWINE

Laboratory Demographics

  • CLIA Code: 08D2194161
  • Facility Name: DELAWARE SLEEP DISORDER CNTRS -BRANDYWINE
  • Facility Address: 701 FOULK ROAD, SUITE 1G
    WILMINGTON, DE
    ZIP 19803
  • Facility Phone: 302 652-5109
  • Facility Type: Other - SLEEP DISORDER CNTR
  • Facility Type: Waiver
  • Lab Director: LYRON A. DEPUTY
  • NPI Number: 1548743743
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 08D2194161
LAB Type Other - SLEEP DISORDER CNTR
Facility Name DELAWARE SLEEP DISORDER CNTRS -BRANDYWINE
Street 701 FOULK ROAD, SUITE 1G
City WILMINGTON
State DE
ZIP 19803
Phone 302 652-5109
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2024
Certificate Expiration Date 9/28/2026
Facility Type Other - SLEEP DISORDER CNTR
Lab Director LYRON A. DEPUTY

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