51D0901680 CLIA NUMBER - GB WV MAPLEWOOD LEASING CO, LLC

Laboratory Demographics

  • CLIA Code: 51D0901680
  • Facility Name: GB WV MAPLEWOOD LEASING CO, LLC
  • Facility Address: 1115 MAPLEWOOD AVENUE
    LEWISBURG, WV
    ZIP 24901
  • Facility Phone: 304 645-3076
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KIM CANFIELD
  • NPI Number: 1467524082
  • Taxonomy: 207YS0123X - Otolaryngology

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CLIA Record

Field Name Field Value
CLIA Number 51D0901680
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GB WV MAPLEWOOD LEASING CO, LLC
Street 1115 MAPLEWOOD AVENUE
City LEWISBURG
State WV
ZIP 24901
Phone 304 645-3076
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2025
Certificate Expiration Date 6/1/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director KIM CANFIELD

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