51D0946118 CLIA NUMBER - PRAKASH M PATEL MD

Laboratory Demographics

  • CLIA Code: 51D0946118
  • Facility Name: PRAKASH M PATEL MD
  • Facility Address: 800 GRAND CENTRAL MALL SUITE 6
    VIENNA, WV
    ZIP 26105
  • Facility Phone: 304 424-4531
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. PRAKASH M. PATEL
  • NPI Number: 1306832928
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 51D0946118
LAB Type Physician Office
Facility Name PRAKASH M PATEL MD
Street 800 GRAND CENTRAL MALL SUITE 6
City VIENNA
State WV
ZIP 26105
Phone 304 424-4531
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2024
Certificate Expiration Date 5/18/2026
Facility Type Physician Office
Lab Director DR. PRAKASH M. PATEL

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This page was last updated on: 6/4/2025