51D1066616 CLIA NUMBER - ADVANCED FAMILY PRACTICE PLLC

Laboratory Demographics

  • CLIA Code: 51D1066616
  • Facility Name: ADVANCED FAMILY PRACTICE PLLC
  • Facility Address: 1315 MT DECHANTAL ROAD
    WHEELING, WV
    ZIP 26003
  • Facility Phone: 304 243-7117
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH G. DONZELLA DO
  • NPI Number: 1285782037
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 51D1066616
LAB Type Physician Office
Facility Name ADVANCED FAMILY PRACTICE PLLC
Street 1315 MT DECHANTAL ROAD
City WHEELING
State WV
ZIP 26003
Phone 304 243-7117
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2025
Certificate Expiration Date 3/27/2027
Facility Type Physician Office
Lab Director JOSEPH G. DONZELLA DO

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