51D1070897 CLIA NUMBER - ACCESS HEALTH GLEN DANIEL

Laboratory Demographics

CLIA Number: 51D1070897

Facility Name: ACCESS HEALTH GLEN DANIEL

Facility Address:
7127 HARPER ROAD
GLEN DANIEL, WV
ZIP 25844
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Facility Phone Number: 304 934-4000

Facility Type: Rural Health Clinic

Certificate Type: Waiver

NPI Number: 1922204643

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 51D1070897
LAB Type Rural Health Clinic
Facility Name ACCESS HEALTH GLEN DANIEL
Street 7127 HARPER ROAD
City GLEN DANIEL
State WV
ZIP 25844
Phone 304 934-4000
CertificateType 4
CertificateEffectiveDate 7/12/2023
CertificateExpirationDate 7/11/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024