51D1102144 CLIA NUMBER - FAMILY MEDICINE LLC

Laboratory Demographics

  • CLIA Code: 51D1102144
  • Facility Name: FAMILY MEDICINE LLC
  • Facility Address: 2108 LUMBER AVENUE SUITE 6
    WHEELING, WV
    ZIP 26003
  • Facility Phone: 304 780-6958
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MATHEW J. WOOD DO
  • NPI Number: 1508009606
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 51D1102144
LAB Type Physician Office
Facility Name FAMILY MEDICINE LLC
Street 2108 LUMBER AVENUE SUITE 6
City WHEELING
State WV
ZIP 26003
Phone 304 780-6958
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2023
Certificate Expiration Date 7/12/2025
Facility Type Physician Office
Lab Director MATHEW J. WOOD DO

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This page was last updated on: 6/4/2025