51D1094428 CLIA NUMBER - CARDINAL HEALTHCARE PLLC

Laboratory Demographics

CLIA Number: 51D1094428

Facility Name: CARDINAL HEALTHCARE PLLC

Facility Address:
1179 T J JACKSON DRIVE SUITE A
FALLING WATERS, WV
ZIP 25419
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Facility Phone Number: 304 820-1031

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1316377005

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	51D1094428
LAB Type	Physician Office
Facility Name	CARDINAL HEALTHCARE PLLC
Street	1179 T J JACKSON DRIVE SUITE A
City	FALLING WATERS
State	WV
ZIP	25419
Phone	304 820-1031
CertificateType	4
CertificateEffectiveDate	12/2/2023
CertificateExpirationDate	12/1/2025
FacilityType	Waiver

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