51D0956376 CLIA NUMBER - MATTHEW A CUPP MD

Laboratory Demographics

  • CLIA Code: 51D0956376
  • Facility Name: MATTHEW A CUPP MD
  • Facility Address: 88 STONE MOUNTAIN LANE
    ELKINS, WV
    ZIP 26241
  • Facility Phone: 304 637-5800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MATTHEW A. CUPP MD
  • NPI Number: 1457442709
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 51D0956376
LAB Type Physician Office
Facility Name MATTHEW A CUPP MD
Street 88 STONE MOUNTAIN LANE
City ELKINS
State WV
ZIP 26241
Phone 304 637-5800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2025
Certificate Expiration Date 1/26/2027
Facility Type Physician Office
Lab Director MATTHEW A. CUPP MD

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