51D0676594 CLIA NUMBER - PENDLETON NURSING HOME

Laboratory Demographics

  • CLIA Code: 51D0676594
  • Facility Name: PENDLETON NURSING HOME
  • Facility Address: 141 MAPLE AVENUE
    FRANKLIN, WV
    ZIP 26807
  • Facility Phone: 304 358-2322
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CARMEN REXRODE MD
  • NPI Number: 1518164813
  • Taxonomy: 261QP2000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 51D0676594
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PENDLETON NURSING HOME
Street 141 MAPLE AVENUE
City FRANKLIN
State WV
ZIP 26807
Phone 304 358-2322
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 CARMEN REXRODE MD

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