51D0236626 CLIA NUMBER - PHYSICIAN OFFICE CENTER / MEDICAL OFFICE BUILDING

Laboratory Demographics

CLIA Code: 51D0236626
Facility Name: PHYSICIAN OFFICE CENTER / MEDICAL OFFICE BUILDING
Facility Address: 1 MEDICAL CENTER DRIVE (ATTN POCT COORDINATOR LAB)
MORGANTOWN, WV
ZIP 26506
Facility Phone: 304 598-4000
Facility Type: Physician Office
Facility Type: Waiver
Lab Director: DR. AMIT TAYAL
NPI Number: 1205038650
Taxonomy: 390200000X - Student in an Organized Health Care Education/Training Program

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CLIA Record

Field Name	Field Value
CLIA Number	51D0236626
LAB Type	Physician Office
Facility Name	PHYSICIAN OFFICE CENTER / MEDICAL OFFICE BUILDING
Street	1 MEDICAL CENTER DRIVE (ATTN POCT COORDINATOR LAB)
City	MORGANTOWN
State	WV
ZIP	26506
Phone	304 598-4000
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	4/3/2025
Certificate Expiration Date	4/2/2027
Facility Type	Physician Office
Lab Director	DR. AMIT TAYAL

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