08D2209600 CLIA NUMBER - CORAS WELLNESS AND BEHAVIORAL HEALTH, LLC

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Laboratory Demographics

CLIA Number: 08D2209600

Facility Name: CORAS WELLNESS AND BEHAVIORAL HEALTH, LLC

Facility Address:
590 NAAMANS RD
CLAYMONT, DE
ZIP 19703
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Facility Phone Number: 302 577-0906

Facility Type: Comp. Outpatient Rehab Facility

Certificate Type: Waiver

NPI Number: 1023686284

Taxonomy: 261QR0405X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	08D2209600
LAB Type	Comp. Outpatient Rehab Facility
Facility Name	CORAS WELLNESS AND BEHAVIORAL HEALTH, LLC
Street	590 NAAMANS RD
City	CLAYMONT
State	DE
ZIP	19703
Phone	302 577-0906
CertificateType	4
CertificateEffectiveDate	1/14/2023
CertificateExpirationDate	1/13/2025
FacilityType	Waiver

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