51D0929097 CLIA NUMBER - INTEGRATED HEALTH CENTER OF WEST VIRGINIA

Laboratory Demographics

  • CLIA Code: 51D0929097
  • Facility Name: INTEGRATED HEALTH CENTER OF WEST VIRGINIA
  • Facility Address: 135 SOUTH PENN AVENUE
    HARRISVILLE, WV
    ZIP 26362
  • Facility Phone: 304 643-4005
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: SANDRA SWISHER
  • NPI Number: 1568719458
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 51D0929097
LAB Type Federally Qualified Health Center
Facility Name INTEGRATED HEALTH CENTER OF WEST VIRGINIA
Street 135 SOUTH PENN AVENUE
City HARRISVILLE
State WV
ZIP 26362
Phone 304 643-4005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2025
Certificate Expiration Date 6/3/2027
Facility Type Federally Qualified Health Center
Lab Director SANDRA SWISHER

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