08D2266952 CLIA NUMBER - IMPACT LIFE

Laboratory Demographics

  • CLIA Code: 08D2266952
  • Facility Name: IMPACT LIFE
  • Facility Address: 4973 BOYCE ROAD
    SEAFORD, DE
    ZIP 19973
  • Facility Phone: 302 465-0019
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: DOMENICA PERSONTI
  • NPI Number: 1558018432
  • Taxonomy: 261QR0405X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 08D2266952
LAB Type Comp. Outpatient Rehab Facility
Facility Name IMPACT LIFE
Street 4973 BOYCE ROAD
City SEAFORD
State DE
ZIP 19973
Phone 302 465-0019
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2024
Certificate Expiration Date 8/17/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director DOMENICA PERSONTI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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