51D0235176 CLIA NUMBER - ST MARY'S MEDICAL CENTER HIMG CAMPUS

Laboratory Demographics

  • CLIA Code: 51D0235176
  • Facility Name: ST MARY'S MEDICAL CENTER HIMG CAMPUS
  • Facility Address: 5170 U S ROUTE 60 EAST
    HUNTINGTON, WV
    ZIP 25705
  • Facility Phone: 304 528-4600
  • Facility Type: Other - OUTPATIENT FACILITY
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. MOHAMED ALSHAL
  • NPI Number: 1184233454
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 51D0235176
LAB Type Other - OUTPATIENT FACILITY
Facility Name ST MARY'S MEDICAL CENTER HIMG CAMPUS
Street 5170 U S ROUTE 60 EAST
City HUNTINGTON
State WV
ZIP 25705
Phone 304 528-4600
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 12/9/2023
Certificate Expiration Date 12/8/2025
Facility Type Other - OUTPATIENT FACILITY
Lab Director DR. MOHAMED ALSHAL

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This page was last updated on: 3/20/2025