08D2249161 CLIA NUMBER - CONCERTO DELAWARE LLC

Laboratory Demographics

CLIA Number: 08D2249161

Facility Name: CONCERTO DELAWARE LLC

Facility Address:
15 OMEGA DRIVE, BUILDING K, SUITE #5
NEWARK, DE
ZIP 19713
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Facility Phone Number: 847 443-1228

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1114694593

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	08D2249161
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	CONCERTO DELAWARE LLC
Street	15 OMEGA DRIVE, BUILDING K, SUITE #5
City	NEWARK
State	DE
ZIP	19713
Phone	847 443-1228
CertificateType	4
CertificateEffectiveDate	1/19/2024
CertificateExpirationDate	1/18/2026
FacilityType	Waiver

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