51D0887637 CLIA NUMBER - 499 FERGUSON ROAD OPCO LLC DBA NELLA'S AT AUTUMN LAKE HEALTHCARE

Laboratory Demographics

  • CLIA Code: 51D0887637
  • Facility Name: 499 FERGUSON ROAD OPCO LLC DBA NELLA'S AT AUTUMN LAKE HEALTHCARE
  • Facility Address: 499 FERGUSON ROAD
    ELKINS, WV
    ZIP 26241
  • Facility Phone: 304 636-1008
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LINLEE EIDELL
  • NPI Number: 1205410883
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 51D0887637
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name 499 FERGUSON ROAD OPCO LLC DBA NELLA'S AT AUTUMN LAKE HEALTHCARE
Street 499 FERGUSON ROAD
City ELKINS
State WV
ZIP 26241
Phone 304 636-1008
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2024
Certificate Expiration Date 6/14/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director LINLEE EIDELL

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