51D0016778 CLIA NUMBER - SOUTHERN WEST VIRGINIA HEALTH SYSTEM - WHITESVILLE

Laboratory Demographics

  • CLIA Code: 51D0016778
  • Facility Name: SOUTHERN WEST VIRGINIA HEALTH SYSTEM - WHITESVILLE
  • Facility Address: 37456 COAL RIVER ROAD
    WHITESVILLE, WV
    ZIP 25209
  • Facility Phone: 304 854-1321
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. SHASHIKANT B. BHAVSAR
  • NPI Number: 1285806760
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 51D0016778
LAB Type Federally Qualified Health Center
Facility Name SOUTHERN WEST VIRGINIA HEALTH SYSTEM - WHITESVILLE
Street 37456 COAL RIVER ROAD
City WHITESVILLE
State WV
ZIP 25209
Phone 304 854-1321
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2024
Certificate Expiration Date 1/26/2026
Facility Type Federally Qualified Health Center
Lab Director DR. SHASHIKANT B. BHAVSAR

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