51D0236457 CLIA NUMBER - UNITED PHYSICIANS CARE INC DBA PINEWOOD MEDICAL CENTER

Laboratory Demographics

CLIA Number: 51D0236457

Facility Name: UNITED PHYSICIANS CARE INC DBA PINEWOOD MEDICAL CENTER

Facility Address:
401 N PIKE ST
GRAFTON, WV
ZIP 26354
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Facility Phone Number: 304 265-1351

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1891863874

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	51D0236457
LAB Type	Physician Office
Facility Name	UNITED PHYSICIANS CARE INC DBA PINEWOOD MEDICAL CENTER
Street	401 N PIKE ST
City	GRAFTON
State	WV
ZIP	26354
Phone	304 265-1351
CertificateType	4
CertificateEffectiveDate	3/2/2023
CertificateExpirationDate	3/1/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024