51D1047880 CLIA NUMBER - HEALTHY HABITS WELLNESS CENTER INC

Laboratory Demographics

  • CLIA Code: 51D1047880
  • Facility Name: HEALTHY HABITS WELLNESS CENTER INC
  • Facility Address: 140 STOLLINGS AVENUE SUITE 3
    LOGAN, WV
    ZIP 25601
  • Facility Phone: 304 752-4594
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JON M. MILLER DO
  • NPI Number: 1659323665
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 51D1047880
LAB Type Physician Office
Facility Name HEALTHY HABITS WELLNESS CENTER INC
Street 140 STOLLINGS AVENUE SUITE 3
City LOGAN
State WV
ZIP 25601
Phone 304 752-4594
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/28/2024
Certificate Expiration Date 1/27/2026
Facility Type Physician Office
Lab Director JON M. MILLER DO

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