51D1006139 CLIA NUMBER - LOGAN REGIONAL PRIMARY CARE - HOLDEN

Laboratory Demographics

  • CLIA Code: 51D1006139
  • Facility Name: LOGAN REGIONAL PRIMARY CARE - HOLDEN
  • Facility Address: 1690 HOLDEN ROAD
    LOGAN, WV
    ZIP 25601
  • Facility Phone: 304 239-2147
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CARLA L. RAMEY
  • NPI Number: 1558352732
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 51D1006139
LAB Type Physician Office
Facility Name LOGAN REGIONAL PRIMARY CARE - HOLDEN
Street 1690 HOLDEN ROAD
City LOGAN
State WV
ZIP 25601
Phone 304 239-2147
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 10/25/2025
Facility Type Physician Office
Lab Director CARLA L. RAMEY

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