51D0662778 CLIA NUMBER - CANTERBURY CENTER

Laboratory Demographics

  • CLIA Code: 51D0662778
  • Facility Name: CANTERBURY CENTER
  • Facility Address: 80 MADDEX DRIVE
    SHEPHERDSTOWN, WV
    ZIP 25443
  • Facility Phone: 304 876-9422
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TABATHA SCOTT
  • NPI Number: 1144404443
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 51D0662778
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CANTERBURY CENTER
Street 80 MADDEX DRIVE
City SHEPHERDSTOWN
State WV
ZIP 25443
Phone 304 876-9422
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director TABATHA SCOTT

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