51D0707042 CLIA NUMBER - GRANT MEMORIAL HOSPITAL RESPIRATORY

Laboratory Demographics

  • CLIA Code: 51D0707042
  • Facility Name: GRANT MEMORIAL HOSPITAL RESPIRATORY
  • Facility Address: 117 HOSPITAL DRIVE
    PETERSBURG, WV
    ZIP 26847
  • Facility Phone: 304 257-1026
  • Facility Type: Hospital
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. BENJAMIN LESLIE
  • NPI Number: 1245238237
  • Taxonomy: 261QM1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 51D0707042
LAB Type Hospital
Facility Name GRANT MEMORIAL HOSPITAL RESPIRATORY
Street 117 HOSPITAL DRIVE
City PETERSBURG
State WV
ZIP 26847
Phone 304 257-1026
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 11/23/2023
Certificate Expiration Date 11/22/2025
Facility Type Hospital
Lab Director DR. BENJAMIN LESLIE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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