51D0235296 CLIA NUMBER - GENESIS PINE LODGE

Laboratory Demographics

  • CLIA Code: 51D0235296
  • Facility Name: GENESIS PINE LODGE
  • Facility Address: 405 STANAFORD RD
    BECKLEY, WV
    ZIP 25801
  • Facility Phone: 304 252-6317
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LORIA DOYLE
  • NPI Number: 1801211701
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 51D0235296
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GENESIS PINE LODGE
Street 405 STANAFORD RD
City BECKLEY
State WV
ZIP 25801
Phone 304 252-6317
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director LORIA DOYLE

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