51D0234284 CLIA NUMBER - THRUSH & CLARK ALLERGISTS PLLC

Laboratory Demographics

  • CLIA Code: 51D0234284
  • Facility Name: THRUSH & CLARK ALLERGISTS PLLC
  • Facility Address: 3415 VIRGINIA AVENUE SE
    CHARLESTON, WV
    ZIP 25304
  • Facility Phone: 304 344-2459
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. JAMES P. CLARK
  • NPI Number: 1225118946
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 51D0234284
LAB Type Physician Office
Facility Name THRUSH & CLARK ALLERGISTS PLLC
Street 3415 VIRGINIA AVENUE SE
City CHARLESTON
State WV
ZIP 25304
Phone 304 344-2459
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/2/2025
Certificate Expiration Date 6/1/2027
Facility Type Physician Office
Lab Director DR. JAMES P. CLARK

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