51D0710106 CLIA NUMBER - BRADSHAW MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 51D0710106
  • Facility Name: BRADSHAW MEDICAL CLINIC
  • Facility Address: MAIN STREET 240
    BRADSHAW, WV
    ZIP 24817
  • Facility Phone: 304 967-5034
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAHESH B. PATEL MD
  • NPI Number: 1912963869
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 51D0710106
LAB Type Physician Office
Facility Name BRADSHAW MEDICAL CLINIC
Street MAIN STREET 240
City BRADSHAW
State WV
ZIP 24817
Phone 304 967-5034
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2024
Certificate Expiration Date 10/11/2026
Facility Type Physician Office
Lab Director MAHESH B. PATEL MD

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