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51D0912203 CLIA NUMBER - PRIMARY CARE PLUS

Laboratory Demographics

CLIA Number: 51D0912203

Facility Name: PRIMARY CARE PLUS

Facility Address:
124 BROOKSHIRE LANE
BECKLEY, WV
ZIP 25801
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Facility Phone Number: 304 255-9205

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1538337076

Taxonomy: 207P00000X - Emergency Medicine
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

CLIA Record

Field Name Field Value
CLIA Number 51D0912203
LAB Type Physician Office
Facility Name PRIMARY CARE PLUS
Street 124 BROOKSHIRE LANE
City BECKLEY
State WV
ZIP 25801
Phone 304 255-9205
CertificateType 4
CertificateEffectiveDate 1/9/2023
CertificateExpirationDate 1/8/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024