51D1000243 CLIA NUMBER - PERRY L HALL DO

Laboratory Demographics

  • CLIA Code: 51D1000243
  • Facility Name: PERRY L HALL DO
  • Facility Address: 1836 LOCUST AVENUE SUITE 1
    FAIRMONT, WV
    ZIP 26554
  • Facility Phone: 304 366-7767
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PERRY L. HALL DO
  • NPI Number: 1083656896
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 51D1000243
LAB Type Physician Office
Facility Name PERRY L HALL DO
Street 1836 LOCUST AVENUE SUITE 1
City FAIRMONT
State WV
ZIP 26554
Phone 304 366-7767
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2024
Certificate Expiration Date 6/5/2026
Facility Type Physician Office
Lab Director PERRY L. HALL DO

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