51D0710485 CLIA NUMBER - GLENWOOD PARK LEASING CO, LLC

Laboratory Demographics

  • CLIA Code: 51D0710485
  • Facility Name: GLENWOOD PARK LEASING CO, LLC
  • Facility Address: 1924 GLENWOOD PARK ROAD
    PRINCETON, WV
    ZIP 24739
  • Facility Phone: 304 425-8128
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL SAVAL
  • NPI Number: 1922406602
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 51D0710485
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GLENWOOD PARK LEASING CO, LLC
Street 1924 GLENWOOD PARK ROAD
City PRINCETON
State WV
ZIP 24739
Phone 304 425-8128
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. MICHAEL SAVAL

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