51D0233873 CLIA NUMBER - JOHN P RICHARDS DO

Laboratory Demographics

CLIA Number: 51D0233873

Facility Name: JOHN P RICHARDS DO

Facility Address:
4710 CHIMNEY DRIVE SUITE H
CHARLESTON, WV
ZIP 25302
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Facility Phone Number: 304 965-7051

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1588627970

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 51D0233873
LAB Type Physician Office
Facility Name JOHN P RICHARDS DO
Street 4710 CHIMNEY DRIVE SUITE H
City CHARLESTON
State WV
ZIP 25302
Phone 304 965-7051
CertificateType 4
CertificateEffectiveDate 4/4/2023
CertificateExpirationDate 4/3/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024