51D0695728 CLIA NUMBER - GOOD SHEPHERD NURSING HOME LC

Laboratory Demographics

  • CLIA Code: 51D0695728
  • Facility Name: GOOD SHEPHERD NURSING HOME LC
  • Facility Address: 159 EDGINGTON LANE
    WHEELING, WV
    ZIP 26003
  • Facility Phone: 304 242-1093
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SUE OCONNELL
  • NPI Number: 1609416346
  • Taxonomy: 261QP2000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 51D0695728
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GOOD SHEPHERD NURSING HOME LC
Street 159 EDGINGTON LANE
City WHEELING
State WV
ZIP 26003
Phone 304 242-1093
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 SUE OCONNELL

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