08D2311628 CLIA NUMBER - PRIMECARE COMPREHENSIVE HEALTH, LLC

Laboratory Demographics

  • CLIA Code: 08D2311628
  • Facility Name: PRIMECARE COMPREHENSIVE HEALTH, LLC
  • Facility Address: 2600 GLAGOW AVE SUITE 203
    NEWARK, DE
    ZIP 19702
  • Facility Phone: 302 204-1639
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ADA CHUK KWAN LEE
  • NPI Number: 1730920117
  • Taxonomy: 363LP2300X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 08D2311628
LAB Type Practitioner Other
Facility Name PRIMECARE COMPREHENSIVE HEALTH, LLC
Street 2600 GLAGOW AVE SUITE 203
City NEWARK
State DE
ZIP 19702
Phone 302 204-1639
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2024
Certificate Expiration Date 9/24/2026
Facility Type Practitioner Other
Lab Director ADA CHUK KWAN LEE

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