51D0906769 CLIA NUMBER - VALLEY HEALTH SCPC

Laboratory Demographics

  • CLIA Code: 51D0906769
  • Facility Name: VALLEY HEALTH SCPC
  • Facility Address: 830 PENNSYLVANIA AVENUE SUITE 108
    CHARLESTON, WV
    ZIP 25302
  • Facility Phone: (304) 982-7031
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. ALETHIA STICKLER
  • NPI Number: 1144096082
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 51D0906769
LAB Type Federally Qualified Health Center
Facility Name VALLEY HEALTH SCPC
Street 830 PENNSYLVANIA AVENUE SUITE 108
City CHARLESTON
State WV
ZIP 25302
Phone 3049827031
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/7/2024
Certificate Expiration Date 8/6/2026
Facility Type Federally Qualified Health Center
Lab Director DR. ALETHIA STICKLER

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This page was last updated on: 6/29/2026