51D0016777 CLIA NUMBER - SOUTHERN WEST VIRGINIA HEALTH SYSTEM - WHARTON

Laboratory Demographics

  • CLIA Code: 51D0016777
  • Facility Name: SOUTHERN WEST VIRGINIA HEALTH SYSTEM - WHARTON
  • Facility Address: 35767 POND FORK ROAD
    WHARTON, WV
    ZIP 25208
  • Facility Phone: 304 247-6202
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. SHAHIKANT B. BHAVSAR
  • NPI Number: 1144381302
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 51D0016777
LAB Type Federally Qualified Health Center
Facility Name SOUTHERN WEST VIRGINIA HEALTH SYSTEM - WHARTON
Street 35767 POND FORK ROAD
City WHARTON
State WV
ZIP 25208
Phone 304 247-6202
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Federally Qualified Health Center
Lab Director DR. SHAHIKANT B. BHAVSAR

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