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51D1095274 CLIA NUMBER - MICHELE D STATON MD PLLC

Laboratory Demographics

CLIA Number: 51D1095274

Facility Name: MICHELE D STATON MD PLLC

Facility Address:
2401 SOUTH KANAWHA STREET SUITE 110 A
BECKLEY, WV
ZIP 25801
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Facility Phone Number: 304 929-4646

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1326141391

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name Field Value
CLIA Number 51D1095274
LAB Type Physician Office
Facility Name MICHELE D STATON MD PLLC
Street 2401 SOUTH KANAWHA STREET SUITE 110 A
City BECKLEY
State WV
ZIP 25801
Phone 304 929-4646
CertificateType 4
CertificateEffectiveDate 2/5/2023
CertificateExpirationDate 2/4/2025
FacilityType Waiver

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