51D0696686 CLIA NUMBER - 100 PARKWAY LEASING CO, LLC

Laboratory Demographics

  • CLIA Code: 51D0696686
  • Facility Name: 100 PARKWAY LEASING CO, LLC
  • Facility Address: 100 PARKWAY DRIVE
    CLARKSBURG, WV
    ZIP 26301
  • Facility Phone: 304 624-6401
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. JAMES MALONE
  • NPI Number: 1386023398
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 51D0696686
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name 100 PARKWAY LEASING CO, LLC
Street 100 PARKWAY DRIVE
City CLARKSBURG
State WV
ZIP 26301
Phone 304 624-6401
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 DR. JAMES MALONE

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