51D1008986 CLIA NUMBER - FAMILY HEALTHCARE ASSOCIATES INC - GILBERT

Laboratory Demographics

CLIA Number: 51D1008986

Facility Name: FAMILY HEALTHCARE ASSOCIATES INC - GILBERT

Facility Address:
1061 LARRY JOE HARLESS DRIVE
GILBERT, WV
ZIP 25621
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Facility Phone Number: 304 664-5699

Facility Type: Rural Health Clinic

Certificate Type: Waiver

NPI Number: 1376572479

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	51D1008986
LAB Type	Rural Health Clinic
Facility Name	FAMILY HEALTHCARE ASSOCIATES INC - GILBERT
Street	1061 LARRY JOE HARLESS DRIVE
City	GILBERT
State	WV
ZIP	25621
Phone	304 664-5699
CertificateType	4
CertificateEffectiveDate	2/4/2023
CertificateExpirationDate	2/3/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024