36D1078483 CLIA NUMBER - WHEELING PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 36D1078483
  • Facility Name: WHEELING PEDIATRICS LLC
  • Facility Address: 222 NORTH FIFTH STREET SUITE 101
    MARTINS FERRY, OH
    ZIP 43935
  • Facility Phone: 740 633-6480
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARY T. HAMMOND
  • NPI Number: 1639536659
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D1078483
LAB Type Physician Office
Facility Name WHEELING PEDIATRICS LLC
Street 222 NORTH FIFTH STREET SUITE 101
City MARTINS FERRY
State OH
ZIP 43935
Phone 740 633-6480
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2024
Certificate Expiration Date 1/9/2026
Facility Type Physician Office
Lab Director MARY T. HAMMOND

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This page was last updated on: 6/4/2025