08D2209747 CLIA NUMBER - DIAMOND STATE PRIMARY CARE, LLC

Laboratory Demographics

  • CLIA Code: 08D2209747
  • Facility Name: DIAMOND STATE PRIMARY CARE, LLC
  • Facility Address: 1400 PEOPLES PLAZA, SUITE 305
    NEWARK, DE
    ZIP 19702
  • Facility Phone: 302 838-2210
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IMELYN LAHEY
  • NPI Number: 1386246940
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 08D2209747
LAB Type Physician Office
Facility Name DIAMOND STATE PRIMARY CARE, LLC
Street 1400 PEOPLES PLAZA, SUITE 305
City NEWARK
State DE
ZIP 19702
Phone 302 838-2210
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/15/2025
Certificate Expiration Date 1/14/2027
Facility Type Physician Office
Lab Director IMELYN LAHEY

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