51D0908983 CLIA NUMBER - BOONE COUNTY AMBULANCE AUTHORITY

Laboratory Demographics

  • CLIA Code: 51D0908983
  • Facility Name: BOONE COUNTY AMBULANCE AUTHORITY
  • Facility Address: 1 EMS CIRCLE
    RACINE, WV
    ZIP 25165
  • Facility Phone: (304) 837-3911
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: RANDALL W. LENGYEL
  • NPI Number: 1124017637
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 51D0908983
LAB Type Other
Facility Name BOONE COUNTY AMBULANCE AUTHORITY
Street 1 EMS CIRCLE
City RACINE
State WV
ZIP 25165
Phone 3048373911
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2025
Certificate Expiration Date 11/19/2027
Facility Type Other
Lab Director RANDALL W. LENGYEL

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This page was last updated on: 5/15/2026