51D1023446 CLIA NUMBER - CHESAPEAKE MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 51D1023446
  • Facility Name: CHESAPEAKE MEDICAL CENTER
  • Facility Address: 400 S RUFFNER ROAD
    CHARLESTON, WV
    ZIP 25314
  • Facility Phone: 304 720-9595
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. GHALI I. BACHA
  • NPI Number: 1316492200
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 51D1023446
LAB Type Physician Office
Facility Name CHESAPEAKE MEDICAL CENTER
Street 400 S RUFFNER ROAD
City CHARLESTON
State WV
ZIP 25314
Phone 304 720-9595
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2024
Certificate Expiration Date 3/16/2026
Facility Type Physician Office
Lab Director DR. GHALI I. BACHA

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This page was last updated on: 3/20/2025