51D0671833 CLIA NUMBER - FAIRMONT REHABILITATION AND HEALTHCARE CENTER LLC

Laboratory Demographics

  • CLIA Code: 51D0671833
  • Facility Name: FAIRMONT REHABILITATION AND HEALTHCARE CENTER LLC
  • Facility Address: 130 KAUFMAN DRIVE
    FAIRMONT, WV
    ZIP 26554
  • Facility Phone: 304 363-5633
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DOMINIQUE FUSCO
  • NPI Number: 1326439522
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 51D0671833
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name FAIRMONT REHABILITATION AND HEALTHCARE CENTER LLC
Street 130 KAUFMAN DRIVE
City FAIRMONT
State WV
ZIP 26554
Phone 304 363-5633
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 DOMINIQUE FUSCO

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