51D0872632 CLIA NUMBER - VALLEY HEALTH A WOMANS PLACE

Laboratory Demographics

  • CLIA Code: 51D0872632
  • Facility Name: VALLEY HEALTH A WOMANS PLACE
  • Facility Address: 1630 13TH AVE SUITE B
    HUNTINGTON, WV
    ZIP 25701
  • Facility Phone: 304 697-2014
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: RICHARD BOOTH JR MD
  • NPI Number: 1104279066
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D0872632
LAB Type Federally Qualified Health Center
Facility Name VALLEY HEALTH A WOMANS PLACE
Street 1630 13TH AVE SUITE B
City HUNTINGTON
State WV
ZIP 25701
Phone 304 697-2014
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 7/1/2025
Certificate Expiration Date 6/30/2027
Facility Type Federally Qualified Health Center
Lab Director RICHARD BOOTH JR MD

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