08D2289218 CLIA NUMBER - ATS OF DELAWARE, LLC

Laboratory Demographics

CLIA Number: 08D2289218

Facility Name: ATS OF DELAWARE, LLC

Facility Address:
501 W MARKET ST
GEORGETOWN, DE
ZIP 19947
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Facility Phone Number: 760 710-0968

Facility Type: Comp. Outpatient Rehab Facility

Certificate Type: Waiver

NPI Number: 1013793561

Taxonomy: 261QR0405X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 08D2289218
LAB Type Comp. Outpatient Rehab Facility
Facility Name ATS OF DELAWARE, LLC
Street 501 W MARKET ST
City GEORGETOWN
State DE
ZIP 19947
Phone 760 710-0968
CertificateType 4
CertificateEffectiveDate 9/7/2023
CertificateExpirationDate 9/6/2025
FacilityType Waiver

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