51D0967770 CLIA NUMBER - CLARKSBURG CARDIOVASCULAR PLLC

Laboratory Demographics

  • CLIA Code: 51D0967770
  • Facility Name: CLARKSBURG CARDIOVASCULAR PLLC
  • Facility Address: 527 MEDICAL PARK DRIVE SUITE 306-H
    BRIDGEPORT, WV
    ZIP 26330
  • Facility Phone: 304 933-3830
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: REDDY M. SATHYANARAYAN MD
  • NPI Number: 1750768149
  • Taxonomy: 207RC0000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 51D0967770
LAB Type Physician Office
Facility Name CLARKSBURG CARDIOVASCULAR PLLC
Street 527 MEDICAL PARK DRIVE SUITE 306-H
City BRIDGEPORT
State WV
ZIP 26330
Phone 304 933-3830
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/23/2023
Certificate Expiration Date 11/22/2025
Facility Type Physician Office
Lab Director REDDY M. SATHYANARAYAN MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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