51D0692279 CLIA NUMBER - VALLEY HEALTH MILTON

Laboratory Demographics

CLIA Number: 51D0692279

Facility Name: VALLEY HEALTH MILTON

Facility Address:
1347 HILLVIEW DRIVE
MILTON, WV
ZIP 25541
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Facility Phone Number: 304 743-1407

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1548542277

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	51D0692279
LAB Type	Federally Qualified Health Center
Facility Name	VALLEY HEALTH MILTON
Street	1347 HILLVIEW DRIVE
City	MILTON
State	WV
ZIP	25541
Phone	304 743-1407
CertificateType	4
CertificateEffectiveDate	9/23/2023
CertificateExpirationDate	9/22/2025
FacilityType	Waiver

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