08D2298938 CLIA NUMBER - DELAWARE PRIMARY CARE LLC

Laboratory Demographics

  • CLIA Code: 08D2298938
  • Facility Name: DELAWARE PRIMARY CARE LLC
  • Facility Address: 204 W LIBERTY WAY SUITE 1
    MILFORD, DE
    ZIP 19963
  • Facility Phone: 302 730-0554
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SANDEEP MANN
  • NPI Number: 1104852300
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 08D2298938
LAB Type Physician Office
Facility Name DELAWARE PRIMARY CARE LLC
Street 204 W LIBERTY WAY SUITE 1
City MILFORD
State DE
ZIP 19963
Phone 302 730-0554
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2024
Certificate Expiration Date 2/11/2026
Facility Type Physician Office
Lab Director SANDEEP MANN

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