51D1062315 CLIA NUMBER - RIVERVIEW PRIMARY CARE PLLC

Laboratory Demographics

  • CLIA Code: 51D1062315
  • Facility Name: RIVERVIEW PRIMARY CARE PLLC
  • Facility Address: 1217 BLIZZARD DRIVE
    PARKERSBURG, WV
    ZIP 26101
  • Facility Phone: 304 916-1720
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BRANDON M. WOLFE
  • NPI Number: 1528371648
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 51D1062315
LAB Type Physician Office
Facility Name RIVERVIEW PRIMARY CARE PLLC
Street 1217 BLIZZARD DRIVE
City PARKERSBURG
State WV
ZIP 26101
Phone 304 916-1720
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2024
Certificate Expiration Date 12/11/2026
Facility Type Physician Office
Lab Director DR. BRANDON M. WOLFE

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