51D0695014 CLIA NUMBER - Wvu Medicine & Specialty Office

Laboratory Demographics

CLIA Number:
51D0695014

Facility Name:
Wvu Medicine & Specialty Office

Facility Address:
4522 Maccorkle Avenue Se Suite 3
Charleston, WV
ZIP 25304

Facility Phone Number:
(304) 720-7305

Facility Type:
PHYSICIAN OFFICE

Certificate Type:
Waiver

Map - Location of Facility

CLIA Record

No. Field Name Field Value
1 CLIA Number 51D0695014
2 LAB Type PHYSICIAN OFFICE
3 Facility Name Wvu Medicine & Specialty Office
4 Street 4522 Maccorkle Avenue Se Suite 3
5 City Charleston
6 State WV
7 ZIP 25304
8 Phone 3047207305

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This page was last updated on: 2/18/2014