51D0235664 CLIA NUMBER - PEDIATRIC CARE OF WHEELING HOSPITAL

Laboratory Demographics

  • CLIA Code: 51D0235664
  • Facility Name: PEDIATRIC CARE OF WHEELING HOSPITAL
  • Facility Address: 30 MEDICAL PARK SUITE 202
    WHEELING, WV
    ZIP 26003
  • Facility Phone: 304 243-1250
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. LAURA R. BLOSSER
  • NPI Number: 1205936291
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 51D0235664
LAB Type Physician Office
Facility Name PEDIATRIC CARE OF WHEELING HOSPITAL
Street 30 MEDICAL PARK SUITE 202
City WHEELING
State WV
ZIP 26003
Phone 304 243-1250
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2025
Certificate Expiration Date 7/10/2027
Facility Type Physician Office
Lab Director DR. LAURA R. BLOSSER

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