08D2290549 CLIA NUMBER - ECLIPSE WELLNESS

Laboratory Demographics

  • CLIA Code: 08D2290549
  • Facility Name: ECLIPSE WELLNESS
  • Facility Address: 623 W NEWPORT PIKE
    WILMINGTON, DE
    ZIP 19804
  • Facility Phone: 302 777-5473
  • Facility Type: Other - NURSE PRACTITIONER OFFICE
  • Facility Type: Waiver
  • Lab Director: AMANDA F. LUCKANISH
  • NPI Number: 1245992262
  • Taxonomy: 208VP0000X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 08D2290549
LAB Type Other - NURSE PRACTITIONER OFFICE
Facility Name ECLIPSE WELLNESS
Street 623 W NEWPORT PIKE
City WILMINGTON
State DE
ZIP 19804
Phone 302 777-5473
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2025
Certificate Expiration Date 9/26/2027
Facility Type Other - NURSE PRACTITIONER OFFICE
Lab Director AMANDA F. LUCKANISH

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