51D0688708 CLIA NUMBER - ALDERSON FAMILY MEDICINE

Laboratory Demographics

CLIA Number: 51D0688708

Facility Name: ALDERSON FAMILY MEDICINE

Facility Address:
205 ALTA DRIVE
ALDERSON, WV
ZIP 24910
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Facility Phone Number: 304 445-7940

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1740288653

Taxonomy: 341600000X - Ambulance
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).

CLIA Record

Field Name	Field Value
CLIA Number	51D0688708
LAB Type	Physician Office
Facility Name	ALDERSON FAMILY MEDICINE
Street	205 ALTA DRIVE
City	ALDERSON
State	WV
ZIP	24910
Phone	304 445-7940
CertificateType	3
CertificateEffectiveDate	10/6/2022
CertificateExpirationDate	10/5/2024
FacilityType	PPMP

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