51D1041260 CLIA NUMBER - MULLENS MANOR INC

Laboratory Demographics

  • CLIA Code: 51D1041260
  • Facility Name: MULLENS MANOR INC
  • Facility Address: 1238 A GUYANDOTTE AVENUE
    MULLENS, WV
    ZIP 25882
  • Facility Phone: 304 732-8502
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: REBECCA J. LOVEJOY
  • NPI Number: 1063562288
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 51D1041260
LAB Type Assisted Living Facility
Facility Name MULLENS MANOR INC
Street 1238 A GUYANDOTTE AVENUE
City MULLENS
State WV
ZIP 25882
Phone 304 732-8502
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/27/2025
Certificate Expiration Date 5/26/2027
Facility Type Assisted Living Facility
Lab Director REBECCA J. LOVEJOY

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