51D0235472 CLIA NUMBER - PENNSYLVANIA LEASING CO, LLC

Laboratory Demographics

  • CLIA Code: 51D0235472
  • Facility Name: PENNSYLVANIA LEASING CO, LLC
  • Facility Address: 276 PENNSYLVANIA AVENUE
    RAINELLE, WV
    ZIP 25962
  • Facility Phone: 304 438-6127
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CONSTANCE ANDERSON
  • NPI Number: 1518606763
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 51D0235472
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PENNSYLVANIA LEASING CO, LLC
Street 276 PENNSYLVANIA AVENUE
City RAINELLE
State WV
ZIP 25962
Phone 304 438-6127
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 CONSTANCE ANDERSON

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