51D0975096 CLIA NUMBER - YUKON MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 51D0975096
  • Facility Name: YUKON MEDICAL CLINIC
  • Facility Address: RT 83 YUKON
    WAR, WV
    ZIP 24892
  • Facility Phone: 304 875-2302
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: MAHESH B. PATEL MD
  • NPI Number: 1942266887
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 51D0975096
LAB Type Community Clinic
Facility Name YUKON MEDICAL CLINIC
Street RT 83 YUKON
City WAR
State WV
ZIP 24892
Phone 304 875-2302
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2024
Certificate Expiration Date 6/26/2026
Facility Type Community Clinic
Lab Director MAHESH B. PATEL MD

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