51D1020498 CLIA NUMBER - PLEASANT ACRES CHRISTIAN HAVEN ASSOCIATION

Laboratory Demographics

  • CLIA Code: 51D1020498
  • Facility Name: PLEASANT ACRES CHRISTIAN HAVEN ASSOCIATION
  • Facility Address: 41 PLEASANT ACRES DRIVE
    FAIRMONT, WV
    ZIP 26554
  • Facility Phone: 304 366-0816
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KIMBERLY M. JACOBS
  • NPI Number: 1437252574
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D1020498
LAB Type Assisted Living Facility
Facility Name PLEASANT ACRES CHRISTIAN HAVEN ASSOCIATION
Street 41 PLEASANT ACRES DRIVE
City FAIRMONT
State WV
ZIP 26554
Phone 304 366-0816
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/19/2024
Certificate Expiration Date 2/18/2026
Facility Type Assisted Living Facility
Lab Director KIMBERLY M. JACOBS

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