51D0233568 CLIA NUMBER - BLUESTONE HEALTH ASSOCIATION, INC

Laboratory Demographics

  • CLIA Code: 51D0233568
  • Facility Name: BLUESTONE HEALTH ASSOCIATION, INC
  • Facility Address: 3997 BECKLEY ROAD
    PRINCETON, WV
    ZIP 24740
  • Facility Phone: 304 431-5499
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. PHILLIP PETERSON
  • NPI Number: 1780342931
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 51D0233568
LAB Type Federally Qualified Health Center
Facility Name BLUESTONE HEALTH ASSOCIATION, INC
Street 3997 BECKLEY ROAD
City PRINCETON
State WV
ZIP 24740
Phone 304 431-5499
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2024
Certificate Expiration Date 1/31/2026
Facility Type Federally Qualified Health Center
Lab Director DR. PHILLIP PETERSON

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