51D0943200 CLIA NUMBER - JEFFERSON URGENT CARE

Laboratory Demographics

  • CLIA Code: 51D0943200
  • Facility Name: JEFFERSON URGENT CARE
  • Facility Address: 84 SOMERSET BOULEVARD
    CHARLES TOWN, WV
    ZIP 25414
  • Facility Phone: 304 728-8533
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SEAN P. RHOADS
  • NPI Number: 1639367402
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 51D0943200
LAB Type Physician Office
Facility Name JEFFERSON URGENT CARE
Street 84 SOMERSET BOULEVARD
City CHARLES TOWN
State WV
ZIP 25414
Phone 304 728-8533
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/15/2025
Certificate Expiration Date 1/14/2027
Facility Type Physician Office
Lab Director SEAN P. RHOADS

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