51D0684316 CLIA NUMBER - GRANT COUNTY HEALTH DEPARTMENT

Laboratory Demographics

CLIA Number: 51D0684316

Facility Name: GRANT COUNTY HEALTH DEPARTMENT

Facility Address:
PO BOX 608
PETERSBURG, WV
ZIP 26847
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Facility Phone Number: 304 257-4922

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1043397110

Taxonomy: 251K00000X - Public Health or Welfare

CLIA Record

Field Name	Field Value
CLIA Number	51D0684316
LAB Type	Other
Facility Name	GRANT COUNTY HEALTH DEPARTMENT
Street	PO BOX 608
City	PETERSBURG
State	WV
ZIP	26847
Phone	304 257-4922
CertificateType	4
CertificateEffectiveDate	1/10/2023
CertificateExpirationDate	1/9/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024