51D0683526 CLIA NUMBER - NICHOLAS CASSIS JR MD

Laboratory Demographics

  • CLIA Code: 51D0683526
  • Facility Name: NICHOLAS CASSIS JR MD
  • Facility Address: 500 STRADER ROAD NORTHGATE BUSINESS PARK
    CHARLESTON, WV
    ZIP 25311
  • Facility Phone: 304 345-6303
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NICHOLAS CASSIS JR MD
  • NPI Number: 1063523512
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 51D0683526
LAB Type Physician Office
Facility Name NICHOLAS CASSIS JR MD
Street 500 STRADER ROAD NORTHGATE BUSINESS PARK
City CHARLESTON
State WV
ZIP 25311
Phone 304 345-6303
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/29/2023
Certificate Expiration Date 12/28/2025
Facility Type Physician Office
Lab Director NICHOLAS CASSIS JR MD

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