51D0698014 CLIA NUMBER - VALLEY HEALTH TEAYS PEDIATRICS

Laboratory Demographics

  • CLIA Code: 51D0698014
  • Facility Name: VALLEY HEALTH TEAYS PEDIATRICS
  • Facility Address: 111 GREAT TEAYS VALLEY BLVD SUITE 101
    SCOTT DEPOT, WV
    ZIP 25560
  • Facility Phone: 304 757-8459
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. ANN LAMBERNEDIS
  • NPI Number: 1700446929
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 51D0698014
LAB Type Federally Qualified Health Center
Facility Name VALLEY HEALTH TEAYS PEDIATRICS
Street 111 GREAT TEAYS VALLEY BLVD SUITE 101
City SCOTT DEPOT
State WV
ZIP 25560
Phone 304 757-8459
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2024
Certificate Expiration Date 1/11/2026
Facility Type Federally Qualified Health Center
Lab Director DR. ANN LAMBERNEDIS

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