51D1082418 CLIA NUMBER - MANCHIN CLINIC SOUTH LLC

Laboratory Demographics

  • CLIA Code: 51D1082418
  • Facility Name: MANCHIN CLINIC SOUTH LLC
  • Facility Address: 181 MIDDLETOWN LOOP
    WHITEHALL, WV
    ZIP 26554
  • Facility Phone: 304 367-9170
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JOHN MANCHIN II
  • NPI Number: 1265605208
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 51D1082418
LAB Type Physician Office
Facility Name MANCHIN CLINIC SOUTH LLC
Street 181 MIDDLETOWN LOOP
City WHITEHALL
State WV
ZIP 26554
Phone 304 367-9170
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 9/29/2024
Certificate Expiration Date 9/28/2026
Facility Type Physician Office
Lab Director JOHN MANCHIN II

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This page was last updated on: 6/4/2025