51D0887374 CLIA NUMBER - KENMORE LEASING CO, LLC

Laboratory Demographics

  • CLIA Code: 51D0887374
  • Facility Name: KENMORE LEASING CO, LLC
  • Facility Address: 462 KENMORE DRIVE
    DANVILLE, WV
    ZIP 25053
  • Facility Phone: 304 369-0986
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: RICHARD W. KNAPP
  • NPI Number: 1386358869
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 51D0887374
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name KENMORE LEASING CO, LLC
Street 462 KENMORE DRIVE
City DANVILLE
State WV
ZIP 25053
Phone 304 369-0986
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2024
Certificate Expiration Date 6/9/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director RICHARD W. KNAPP

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