51D1002647 CLIA NUMBER - MINERAL COUNTY INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 51D1002647
  • Facility Name: MINERAL COUNTY INTERNAL MEDICINE
  • Facility Address: 566 S MINERAL STREET
    KEYSER, WV
    ZIP 26726
  • Facility Phone: 304 788-6685
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. HARSHAD S. BOKIL
  • NPI Number: 1134120231
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 51D1002647
LAB Type Physician Office
Facility Name MINERAL COUNTY INTERNAL MEDICINE
Street 566 S MINERAL STREET
City KEYSER
State WV
ZIP 26726
Phone 304 788-6685
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2024
Certificate Expiration Date 11/13/2026
Facility Type Physician Office
Lab Director DR. HARSHAD S. BOKIL

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