51D0888512 CLIA NUMBER - JOSEPH J DE PETRO III MD

Laboratory Demographics

  • CLIA Code: 51D0888512
  • Facility Name: JOSEPH J DE PETRO III MD
  • Facility Address: 69 8TH STREET
    WELLSBURG, WV
    ZIP 26070
  • Facility Phone: 304 737-0321
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH J. DE PETRO MD III
  • NPI Number: 1083764666
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 51D0888512
LAB Type Physician Office
Facility Name JOSEPH J DE PETRO III MD
Street 69 8TH STREET
City WELLSBURG
State WV
ZIP 26070
Phone 304 737-0321
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2024
Certificate Expiration Date 7/7/2026
Facility Type Physician Office
Lab Director JOSEPH J. DE PETRO MD III

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