51D1101670 CLIA NUMBER - PRO MEDICAL REHAB

Laboratory Demographics

  • CLIA Code: 51D1101670
  • Facility Name: PRO MEDICAL REHAB
  • Facility Address: 460 MYLAN PARK LANE
    MORGANTOWN, WV
    ZIP 26501
  • Facility Phone: 304 983-7766
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JOHN DAVID LYNCH
  • NPI Number: 1467668368
  • Taxonomy: 225700000X - Massage Therapist

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CLIA Record

Field Name Field Value
CLIA Number 51D1101670
LAB Type Practitioner Other
Facility Name PRO MEDICAL REHAB
Street 460 MYLAN PARK LANE
City MORGANTOWN
State WV
ZIP 26501
Phone 304 983-7766
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/2/2025
Certificate Expiration Date 7/1/2027
Facility Type Practitioner Other
Lab Director JOHN DAVID LYNCH

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