51D0234284 CLIA NUMBER - THRUSH & CLARK ALLERGISTS PLLC C/O L BLAIR THRUSH MD

Laboratory Demographics

CLIA Number: 51D0234284

Facility Name: THRUSH & CLARK ALLERGISTS PLLC C/O L BLAIR THRUSH MD

Facility Address:
3415 VIRGINIA AVENUE SE
CHARLESTON, WV
ZIP 25304
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Facility Phone Number: 304 344-2459

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1225118946

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	51D0234284
LAB Type	Physician Office
Facility Name	THRUSH & CLARK ALLERGISTS PLLC C/O L BLAIR THRUSH MD
Street	3415 VIRGINIA AVENUE SE
City	CHARLESTON
State	WV
ZIP	25304
Phone	304 344-2459
CertificateType	3
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	PPMP

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