51D1001451 CLIA NUMBER - VALLEY HEALTH KANAWHA CITY

Laboratory Demographics

  • CLIA Code: 51D1001451
  • Facility Name: VALLEY HEALTH KANAWHA CITY
  • Facility Address: 4407 MACCORKLE AVENUE
    CHARLESTON, WV
    ZIP 25304
  • Facility Phone: 304 925-0392
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. REBECCA TAYLOR
  • NPI Number: 1407466535
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 51D1001451
LAB Type Federally Qualified Health Center
Facility Name VALLEY HEALTH KANAWHA CITY
Street 4407 MACCORKLE AVENUE
City CHARLESTON
State WV
ZIP 25304
Phone 304 925-0392
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2024
Certificate Expiration Date 7/10/2026
Facility Type Federally Qualified Health Center
Lab Director DR. REBECCA TAYLOR

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