36D2165155 CLIA NUMBER - POWHATAN HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 36D2165155
  • Facility Name: POWHATAN HEALTH CENTER
  • Facility Address: 63 HIGHWAY 7 SOUTH
    POWHATAN POINT, OH
    ZIP 43942
  • Facility Phone: 740 795-4505
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STACEY BROWN-BROCKLEHURST
  • NPI Number: 1528138880
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2165155
LAB Type Physician Office
Facility Name POWHATAN HEALTH CENTER
Street 63 HIGHWAY 7 SOUTH
City POWHATAN POINT
State OH
ZIP 43942
Phone 740 795-4505
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2025
Certificate Expiration Date 4/21/2027
Facility Type Physician Office
Lab Director STACEY BROWN-BROCKLEHURST

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