51D1047115 CLIA NUMBER - WILLIAMSON TREATMENT CENTER

Laboratory Demographics

  • CLIA Code: 51D1047115
  • Facility Name: WILLIAMSON TREATMENT CENTER
  • Facility Address: 1609 WEST THIRD AVENUE
    WILLIAMSON, WV
    ZIP 25661
  • Facility Phone: 304 235-0026
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: THOMAS BAILEY MD
  • NPI Number: 1144239708
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 51D1047115
LAB Type Comp. Outpatient Rehab Facility
Facility Name WILLIAMSON TREATMENT CENTER
Street 1609 WEST THIRD AVENUE
City WILLIAMSON
State WV
ZIP 25661
Phone 304 235-0026
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 10/25/2025
Facility Type Comp. Outpatient Rehab Facility
Lab Director THOMAS BAILEY MD

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