51D0234580 CLIA NUMBER - AUTUMN LEASING CO, LLC DBA BERKELEY SPRINGS

Laboratory Demographics

  • CLIA Code: 51D0234580
  • Facility Name: AUTUMN LEASING CO, LLC DBA BERKELEY SPRINGS
  • Facility Address: 456 AUTUMN ACRES ROAD
    BERKELEY SPRINGS, WV
    ZIP 25411
  • Facility Phone: 304 258-3673
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. EDWARD P. QUARANTILLO
  • NPI Number: 1386037331
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 51D0234580
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name AUTUMN LEASING CO, LLC DBA BERKELEY SPRINGS
Street 456 AUTUMN ACRES ROAD
City BERKELEY SPRINGS
State WV
ZIP 25411
Phone 304 258-3673
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2025
Certificate Expiration Date 7/21/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. EDWARD P. QUARANTILLO

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