51D0877141 CLIA NUMBER - RALEIGH CENTER

Laboratory Demographics

  • CLIA Code: 51D0877141
  • Facility Name: RALEIGH CENTER
  • Facility Address: 1631 RITTER DRIVE
    DANIELS, WV
    ZIP 25832
  • Facility Phone: 304 763-3051
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MUSTAFA RAHIM MD
  • NPI Number: 1063696243
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 51D0877141
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name RALEIGH CENTER
Street 1631 RITTER DRIVE
City DANIELS
State WV
ZIP 25832
Phone 304 763-3051
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2025
Certificate Expiration Date 9/28/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MUSTAFA RAHIM MD

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