51D0880346 CLIA NUMBER - BRAXTON COMMUNITY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 51D0880346
  • Facility Name: BRAXTON COMMUNITY HEALTH CENTER
  • Facility Address: 671 RIVER STREET
    GASSAWAY, WV
    ZIP 26624
  • Facility Phone: 304 364-2401
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DARLA GANT
  • NPI Number: 1356304547
  • Taxonomy: 282NC0060X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 51D0880346
LAB Type Physician Office
Facility Name BRAXTON COMMUNITY HEALTH CENTER
Street 671 RIVER STREET
City GASSAWAY
State WV
ZIP 26624
Phone 304 364-2401
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2024
Certificate Expiration Date 12/11/2026
Facility Type Physician Office
Lab Director DR. DARLA GANT

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This page was last updated on: 6/4/2025