51D0701828 CLIA NUMBER - LAWRENCE B KELLY, MD

Laboratory Demographics

  • CLIA Code: 51D0701828
  • Facility Name: LAWRENCE B KELLY, MD
  • Facility Address: 4825 MACCORKLE AVE, SW, SUITE C
    SOUTH CHARLESTON, WV
    ZIP 25309
  • Facility Phone: 304 343-1022
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. LAWRENCE B. KELLY
  • NPI Number: 1144499401
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 51D0701828
LAB Type Physician Office
Facility Name LAWRENCE B KELLY, MD
Street 4825 MACCORKLE AVE, SW, SUITE C
City SOUTH CHARLESTON
State WV
ZIP 25309
Phone 304 343-1022
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2023
Certificate Expiration Date 10/8/2025
Facility Type Physician Office
Lab Director DR. LAWRENCE B. KELLY

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