08D2313363 CLIA NUMBER - VILLAGE PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 08D2313363
  • Facility Name: VILLAGE PRIMARY CARE
  • Facility Address: 21 CLARKE AVENUE, SUITE1410
    MILFORD, DE
    ZIP 19963
  • Facility Phone: 302 467-3200
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: KAITLIN M. FIELDER
  • NPI Number: 1043075526
  • Taxonomy: 261Q00000X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 08D2313363
LAB Type Prison
Facility Name VILLAGE PRIMARY CARE
Street 21 CLARKE AVENUE, SUITE1410
City MILFORD
State DE
ZIP 19963
Phone 302 467-3200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2024
Certificate Expiration Date 10/29/2026
Facility Type Prison
Lab Director KAITLIN M. FIELDER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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