51D0236464 CLIA NUMBER - 400 MCKINLEY AVENUE OPERATIONS LLC

Laboratory Demographics

  • CLIA Code: 51D0236464
  • Facility Name: 400 MCKINLEY AVENUE OPERATIONS LLC
  • Facility Address: 400 MCKINLEY AVENUE
    HARRISVILLE, WV
    ZIP 26362
  • Facility Phone: 304 643-2712
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. KARLA LUSK
  • NPI Number: 1497752455
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 51D0236464
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name 400 MCKINLEY AVENUE OPERATIONS LLC
Street 400 MCKINLEY AVENUE
City HARRISVILLE
State WV
ZIP 26362
Phone 304 643-2712
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. KARLA LUSK

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