51D0677098 CLIA NUMBER - FOUR LEAF CLOVER LEASING CO, LLC

Laboratory Demographics

  • CLIA Code: 51D0677098
  • Facility Name: FOUR LEAF CLOVER LEASING CO, LLC
  • Facility Address: 209 CLOVER STREET
    MARTINSBURG, WV
    ZIP 25404
  • Facility Phone: 304 263-8921
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SAMUEL D. MORRIS
  • NPI Number: 1972242253
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 51D0677098
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name FOUR LEAF CLOVER LEASING CO, LLC
Street 209 CLOVER STREET
City MARTINSBURG
State WV
ZIP 25404
Phone 304 263-8921
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 SAMUEL D. MORRIS

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