08D2227528 CLIA NUMBER - PREMIER MEDICAL ASSOCIATES, LLC

Laboratory Demographics

  • CLIA Code: 08D2227528
  • Facility Name: PREMIER MEDICAL ASSOCIATES, LLC
  • Facility Address: 620 STANTON CHRISTIANA RD, SUITE 101
    NEWARK, DE
    ZIP 19713
  • Facility Phone: 302 952-5109
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LYRON A. DEPUTY
  • NPI Number: 1154836500
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 08D2227528
LAB Type Physician Office
Facility Name PREMIER MEDICAL ASSOCIATES, LLC
Street 620 STANTON CHRISTIANA RD, SUITE 101
City NEWARK
State DE
ZIP 19713
Phone 302 952-5109
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/14/2025
Certificate Expiration Date 6/13/2027
Facility Type Physician Office
Lab Director LYRON A. DEPUTY

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