51D0235980 CLIA NUMBER - 27TH STREET LEASING CO, LLC

Laboratory Demographics

  • CLIA Code: 51D0235980
  • Facility Name: 27TH STREET LEASING CO, LLC
  • Facility Address: 1600 27TH STREET
    PARKERSBURG, WV
    ZIP 26101
  • Facility Phone: 304 485-6476
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. DAVID M. MONTGOMERY
  • NPI Number: 1992444145
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 51D0235980
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name 27TH STREET LEASING CO, LLC
Street 1600 27TH STREET
City PARKERSBURG
State WV
ZIP 26101
Phone 304 485-6476
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 DR. DAVID M. MONTGOMERY

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