08D2316655 CLIA NUMBER - PREMIER MEDICAL ASSOCIATES, LLC

Laboratory Demographics

  • CLIA Code: 08D2316655
  • Facility Name: PREMIER MEDICAL ASSOCIATES, LLC
  • Facility Address: 701 FOULK RD, SUITE 1 G-H
    WILMINGTON, DE
    ZIP 19803
  • Facility Phone: 302 652-5109
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LYRON A. DEPUTY
  • NPI Number: 1417769217
  • Taxonomy: 207RP1001X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 08D2316655
LAB Type Physician Office
Facility Name PREMIER MEDICAL ASSOCIATES, LLC
Street 701 FOULK RD, SUITE 1 G-H
City WILMINGTON
State DE
ZIP 19803
Phone 302 652-5109
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2025
Certificate Expiration Date 1/8/2027
Facility Type Physician Office
Lab Director LYRON A. DEPUTY

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