51D0235871 CLIA NUMBER - WELLSBURG PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 51D0235871
  • Facility Name: WELLSBURG PRIMARY CARE
  • Facility Address: 1421 COMMERCE ST
    WELLSBURG, WV
    ZIP 26070
  • Facility Phone: 304 737-3425
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BIANCA K. CHUN
  • NPI Number: 1053364778
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 51D0235871
LAB Type Physician Office
Facility Name WELLSBURG PRIMARY CARE
Street 1421 COMMERCE ST
City WELLSBURG
State WV
ZIP 26070
Phone 304 737-3425
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2025
Certificate Expiration Date 3/5/2027
Facility Type Physician Office
Lab Director BIANCA K. CHUN

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