51D1001879 CLIA NUMBER - TEAYS INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 51D1001879
  • Facility Name: TEAYS INTERNAL MEDICINE
  • Facility Address: 111 GREAT TEAYS BLVD
    SCOTT DEPOT, WV
    ZIP 25560
  • Facility Phone: 304 757-1907
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES A. AKINS MD
  • NPI Number: 1023207685
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 51D1001879
LAB Type Physician Office
Facility Name TEAYS INTERNAL MEDICINE
Street 111 GREAT TEAYS BLVD
City SCOTT DEPOT
State WV
ZIP 25560
Phone 304 757-1907
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2024
Certificate Expiration Date 7/22/2026
Facility Type Physician Office
Lab Director JAMES A. AKINS MD

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