51D0234855 CLIA NUMBER - LOGAN GENERAL HOSPITAL LLC LOGAN REGIONAL MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 51D0234855
  • Facility Name: LOGAN GENERAL HOSPITAL LLC LOGAN REGIONAL MEDICAL CENTER
  • Facility Address: 20 HOSPITAL DRIVE
    LOGAN, WV
    ZIP 25601
  • Facility Phone: 304 831-1101
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: FAHAD BAFAKIH
  • NPI Number: 1720032105
  • Taxonomy: 213E00000X - Podiatrist

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CLIA Record

Field Name Field Value
CLIA Number 51D0234855
LAB Type Hospital
Facility Name LOGAN GENERAL HOSPITAL LLC LOGAN REGIONAL MEDICAL CENTER
Street 20 HOSPITAL DRIVE
City LOGAN
State WV
ZIP 25601
Phone 304 831-1101
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Hospital
Lab Director FAHAD BAFAKIH

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