51D0236987 CLIA NUMBER - GRANT MEMORIAL HOSPITAL

Laboratory Demographics

  • CLIA Code: 51D0236987
  • Facility Name: GRANT MEMORIAL HOSPITAL
  • Facility Address: 117 HOSPITAL DRIVE
    PETERSBURG, WV
    ZIP 26847
  • Facility Phone: 304 257-1026
  • Facility Type: Hospital
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. DAVID LUCAS
  • NPI Number: 1821096637
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 51D0236987
LAB Type Hospital
Facility Name GRANT MEMORIAL HOSPITAL
Street 117 HOSPITAL DRIVE
City PETERSBURG
State WV
ZIP 26847
Phone 304 257-1026
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/22/2024
Certificate Expiration Date 2/21/2026
Facility Type Hospital
Lab Director DR. DAVID LUCAS

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