51D0672451 CLIA NUMBER - CRESTVIEW TERRACE LEASING CO, LLC

Laboratory Demographics

  • CLIA Code: 51D0672451
  • Facility Name: CRESTVIEW TERRACE LEASING CO, LLC
  • Facility Address: 41 CRESTVIEW TERRACE
    BRIDGEPORT, WV
    ZIP 26330
  • Facility Phone: 304 842-7101
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. JAMES E. MALONE
  • NPI Number: 1386037331
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 51D0672451
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CRESTVIEW TERRACE LEASING CO, LLC
Street 41 CRESTVIEW TERRACE
City BRIDGEPORT
State WV
ZIP 26330
Phone 304 842-7101
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 DR. JAMES E. MALONE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025