51D0236494 CLIA NUMBER - UNITED PHYSICIANS CARE INC DBA SHINNSTON HEALTHCARE

Laboratory Demographics

  • CLIA Code: 51D0236494
  • Facility Name: UNITED PHYSICIANS CARE INC DBA SHINNSTON HEALTHCARE
  • Facility Address: 686 SOUTH PIKE STREET
    SHINNSTON, WV
    ZIP 26431
  • Facility Phone: 304 592-2100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LANCE D. DUBBERKE MD
  • NPI Number: 1245308766
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 51D0236494
LAB Type Physician Office
Facility Name UNITED PHYSICIANS CARE INC DBA SHINNSTON HEALTHCARE
Street 686 SOUTH PIKE STREET
City SHINNSTON
State WV
ZIP 26431
Phone 304 592-2100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2024
Certificate Expiration Date 10/2/2026
Facility Type Physician Office
Lab Director LANCE D. DUBBERKE MD

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