51D1088113 CLIA NUMBER - PRESTON COUNTY PEDIATRICS & INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 51D1088113
  • Facility Name: PRESTON COUNTY PEDIATRICS & INTERNAL MEDICINE
  • Facility Address: 14 COMFORT DRIVE
    REEDSVILLE, WV
    ZIP 26547
  • Facility Phone: 304 864-0006
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CYNTHIA C. CLARKSON MD
  • NPI Number: 1598911638
  • Taxonomy: 251C00000X - Day Training, Developmentally Disabled Services

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CLIA Record

Field Name Field Value
CLIA Number 51D1088113
LAB Type Physician Office
Facility Name PRESTON COUNTY PEDIATRICS & INTERNAL MEDICINE
Street 14 COMFORT DRIVE
City REEDSVILLE
State WV
ZIP 26547
Phone 304 864-0006
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 8/18/2024
Certificate Expiration Date 8/17/2026
Facility Type Physician Office
Lab Director CYNTHIA C. CLARKSON MD

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