51D0672265 CLIA NUMBER - MONTGOMERY GENERAL ELDERLY CARE CTR

Laboratory Demographics

  • CLIA Code: 51D0672265
  • Facility Name: MONTGOMERY GENERAL ELDERLY CARE CTR
  • Facility Address: 501 ADAMS STREET
    MONTGOMERY, WV
    ZIP 25136
  • Facility Phone: 304 442-1248
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MICHAEL TAYLOR
  • NPI Number: 1053410985
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 51D0672265
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MONTGOMERY GENERAL ELDERLY CARE CTR
Street 501 ADAMS STREET
City MONTGOMERY
State WV
ZIP 25136
Phone 304 442-1248
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 MICHAEL TAYLOR

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