51D1095188 CLIA NUMBER - ALI KHAN MD

Laboratory Demographics

  • CLIA Code: 51D1095188
  • Facility Name: ALI KHAN MD
  • Facility Address: 2 HARTMAN PLAZA
    BUCKHANNON, WV
    ZIP 26201
  • Facility Phone: 304 471-3400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALI KHAN MD
  • NPI Number: 1528089158
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 51D1095188
LAB Type Physician Office
Facility Name ALI KHAN MD
Street 2 HARTMAN PLAZA
City BUCKHANNON
State WV
ZIP 26201
Phone 304 471-3400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2024
Certificate Expiration Date 5/13/2026
Facility Type Physician Office
Lab Director ALI KHAN MD

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