51D1034229 CLIA NUMBER - SOUTHERN ROANE MEDICAL CLINIC ROANE GENERAL HOSPITAL

Laboratory Demographics

  • CLIA Code: 51D1034229
  • Facility Name: SOUTHERN ROANE MEDICAL CLINIC ROANE GENERAL HOSPITAL
  • Facility Address: 1 LIBRARY LANE SUITE 2
    LEFT HAND, WV
    ZIP 25251
  • Facility Phone: 304 565-3151
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: DR. GRANT PARKINS
  • NPI Number: 1790745677
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 51D1034229
LAB Type Rural Health Clinic
Facility Name SOUTHERN ROANE MEDICAL CLINIC ROANE GENERAL HOSPITAL
Street 1 LIBRARY LANE SUITE 2
City LEFT HAND
State WV
ZIP 25251
Phone 304 565-3151
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2024
Certificate Expiration Date 11/29/2026
Facility Type Rural Health Clinic
Lab Director DR. GRANT PARKINS

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