51D0661831 CLIA NUMBER - STONEWALL JACKSON MEMORIAL HOSPITAL

Laboratory Demographics

CLIA Number: 51D0661831

Facility Name: STONEWALL JACKSON MEMORIAL HOSPITAL

Facility Address:
230 HOSPITAL PLAZA
WESTON, WV
ZIP 26452
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Facility Phone Number: 304 269-8066

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1477559433

Taxonomy: 282NR1301X - General Acute Care Hospital

CLIA Record

Field Name	Field Value
CLIA Number	51D0661831
LAB Type	Hospital
Facility Name	STONEWALL JACKSON MEMORIAL HOSPITAL
Street	230 HOSPITAL PLAZA
City	WESTON
State	WV
ZIP	26452
Phone	304 269-8066
CertificateType	1
CertificateEffectiveDate	1/3/2023
CertificateExpirationDate	1/2/2025
FacilityType	Accreditation

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