51D0896428 CLIA NUMBER - MOUNTAIN MEMORIES ASSISTED LIVING & RETIREMENT CENTER

Laboratory Demographics

  • CLIA Code: 51D0896428
  • Facility Name: MOUNTAIN MEMORIES ASSISTED LIVING & RETIREMENT CENTER
  • Facility Address: 301 WILSON LANE
    ELKINS, WV
    ZIP 26241
  • Facility Phone: 304 636-8600
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MELISSA KILGORE
  • NPI Number: 1598135386
  • Taxonomy: 207RP1001X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 51D0896428
LAB Type Assisted Living Facility
Facility Name MOUNTAIN MEMORIES ASSISTED LIVING & RETIREMENT CENTER
Street 301 WILSON LANE
City ELKINS
State WV
ZIP 26241
Phone 304 636-8600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2025
Certificate Expiration Date 1/9/2027
Facility Type Assisted Living Facility
Lab Director MELISSA KILGORE

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