08D2290708 CLIA NUMBER - DELAWARE PHYSIATRY

Laboratory Demographics

  • CLIA Code: 08D2290708
  • Facility Name: DELAWARE PHYSIATRY
  • Facility Address: 79 OMEGA DRIVE BLDG C
    NEWARK, DE
    ZIP 19713
  • Facility Phone: 302 387-1407
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HARESH SAMPATHKUMAR
  • NPI Number: 1174192827
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 08D2290708
LAB Type Physician Office
Facility Name DELAWARE PHYSIATRY
Street 79 OMEGA DRIVE BLDG C
City NEWARK
State DE
ZIP 19713
Phone 302 387-1407
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2025
Certificate Expiration Date 9/28/2027
Facility Type Physician Office
Lab Director HARESH SAMPATHKUMAR

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