51D0858267 CLIA NUMBER - BLUE LOT MD PLLC DBA DR LETITIA TIERNEY

Laboratory Demographics

  • CLIA Code: 51D0858267
  • Facility Name: BLUE LOT MD PLLC DBA DR LETITIA TIERNEY
  • Facility Address: 10 COURTNEY DRIVE
    CHARLESTON, WV
    ZIP 25304
  • Facility Phone: 304 344-2345
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. LETITIA E. TIERNEY
  • NPI Number: 1497831879
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 51D0858267
LAB Type Physician Office
Facility Name BLUE LOT MD PLLC DBA DR LETITIA TIERNEY
Street 10 COURTNEY DRIVE
City CHARLESTON
State WV
ZIP 25304
Phone 304 344-2345
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DR. LETITIA E. TIERNEY

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