51D0670488 CLIA NUMBER - BP WV MAPLEWOOD LEASING CO, LLC

Laboratory Demographics

  • CLIA Code: 51D0670488
  • Facility Name: BP WV MAPLEWOOD LEASING CO, LLC
  • Facility Address: 1081 MAPLEWOOD DRIVE
    BRIDGEPORT, WV
    ZIP 26330
  • Facility Phone: 304 842-4135
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CONSTANCE ANDERSON
  • NPI Number: 1255427415
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 51D0670488
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BP WV MAPLEWOOD LEASING CO, LLC
Street 1081 MAPLEWOOD DRIVE
City BRIDGEPORT
State WV
ZIP 26330
Phone 304 842-4135
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 CONSTANCE ANDERSON

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