51D0690029 CLIA NUMBER - SOUTHERN LEASING CO, LLC

Laboratory Demographics

  • CLIA Code: 51D0690029
  • Facility Name: SOUTHERN LEASING CO, LLC
  • Facility Address: 135 SOUTHERN DRIVE
    KEYSER, WV
    ZIP 26726
  • Facility Phone: 304 788-3415
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CYNTHIA L. HOTT
  • NPI Number: 1902545288
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 51D0690029
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SOUTHERN LEASING CO, LLC
Street 135 SOUTHERN DRIVE
City KEYSER
State WV
ZIP 26726
Phone 304 788-3415
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 CYNTHIA L. HOTT

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