51D0981624 CLIA NUMBER - VALLEY HEALTH POINT PLEASANT PEDIATRICS

Laboratory Demographics

  • CLIA Code: 51D0981624
  • Facility Name: VALLEY HEALTH POINT PLEASANT PEDIATRICS
  • Facility Address: 2801 JACKSON AVENUE
    POINT PLEASANT, WV
    ZIP 25550
  • Facility Phone: 304 675-4107
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. TIERRA N. CROCKETT
  • NPI Number: 1124323340
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 51D0981624
LAB Type Federally Qualified Health Center
Facility Name VALLEY HEALTH POINT PLEASANT PEDIATRICS
Street 2801 JACKSON AVENUE
City POINT PLEASANT
State WV
ZIP 25550
Phone 304 675-4107
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Federally Qualified Health Center
Lab Director DR. TIERRA N. CROCKETT

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This page was last updated on: 3/20/2025