51D0707495 CLIA NUMBER - SHENANDOAH COMMUNITY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 51D0707495
  • Facility Name: SHENANDOAH COMMUNITY HEALTH CENTER
  • Facility Address: 99 TAVERN ROAD
    MARTINSBURG, WV
    ZIP 25401
  • Facility Phone: 304 263-4999
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: DR. MICHAEL LI
  • NPI Number: 1659762466
  • Taxonomy: 3336C0002X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D0707495
LAB Type Federally Qualified Health Center
Facility Name SHENANDOAH COMMUNITY HEALTH CENTER
Street 99 TAVERN ROAD
City MARTINSBURG
State WV
ZIP 25401
Phone 304 263-4999
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/30/2023
Certificate Expiration Date 7/29/2025
Facility Type Federally Qualified Health Center
Lab Director DR. MICHAEL LI

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This page was last updated on: 6/4/2025