08D2219349 CLIA NUMBER - A PEACEFUL PLACE INTEGRATED CARE

Laboratory Demographics

  • CLIA Code: 08D2219349
  • Facility Name: A PEACEFUL PLACE INTEGRATED CARE
  • Facility Address: 1001 S BRADFORD ST SUITE #7
    DOVER, DE
    ZIP 19904
  • Facility Phone: 302 264-9436
  • Facility Type: Other - NP
  • Facility Type: Waiver
  • Lab Director: ERICKA D. DANIEL
  • NPI Number: 1801487046
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 08D2219349
LAB Type Other - NP
Facility Name A PEACEFUL PLACE INTEGRATED CARE
Street 1001 S BRADFORD ST SUITE #7
City DOVER
State DE
ZIP 19904
Phone 302 264-9436
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2025
Certificate Expiration Date 4/4/2027
Facility Type Other - NP
Lab Director ERICKA D. DANIEL

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