51D0661791 CLIA NUMBER - WETZEL TYLER HEALTH DEPARTMENT

Laboratory Demographics

CLIA Number: 51D0661791

Facility Name: WETZEL TYLER HEALTH DEPARTMENT

Facility Address:
425 SOUTH 4TH AVENUE
PADEN CITY, WV
ZIP 26159
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Facility Phone Number: 304 337-2001

Facility Type: Other - LOCAL HEALTH DEPARTMENT

Certificate Type: Waiver

NPI Number: 1740403443

Taxonomy: 251K00000X - Public Health or Welfare

CLIA Record

Field Name	Field Value
CLIA Number	51D0661791
LAB Type	Other - LOCAL HEALTH DEPARTMENT
Facility Name	WETZEL TYLER HEALTH DEPARTMENT
Street	425 SOUTH 4TH AVENUE
City	PADEN CITY
State	WV
ZIP	26159
Phone	304 337-2001
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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