08D2255192 CLIA NUMBER - CHRISTIANACARE-GOHEALTH URGENT CARE GREENVILLE

Laboratory Demographics

CLIA Number: 08D2255192

Facility Name: CHRISTIANACARE-GOHEALTH URGENT CARE GREENVILLE

Facility Address:
360 BUCKLEY MILL ROAD, SUITE B
GREENVILLE, DE
ZIP 19807
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Facility Phone Number: 302 299-1001

Facility Type: Other - URGENT CARE MEDICAL FACIL

Certificate Type: Waiver

NPI Number: 1407830748

Taxonomy: 207RE0101X - Internal Medicine
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

CLIA Record

Field Name Field Value
CLIA Number 08D2255192
LAB Type Other - URGENT CARE MEDICAL FACIL
Facility Name CHRISTIANACARE-GOHEALTH URGENT CARE GREENVILLE
Street 360 BUCKLEY MILL ROAD, SUITE B
City GREENVILLE
State DE
ZIP 19807
Phone 302 299-1001
CertificateType 4
CertificateEffectiveDate 3/11/2024
CertificateExpirationDate 3/10/2026
FacilityType Waiver

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