51D1103726 CLIA NUMBER - MOUNTAIN HOSPICE

Laboratory Demographics

  • CLIA Code: 51D1103726
  • Facility Name: MOUNTAIN HOSPICE
  • Facility Address: 1002 SOUTH CRIM AVENUE
    BELINGTON, WV
    ZIP 26250
  • Facility Phone: 304 823-3922
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DON TRIMBLE
  • NPI Number: 1548253735
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 51D1103726
LAB Type Hospice
Facility Name MOUNTAIN HOSPICE
Street 1002 SOUTH CRIM AVENUE
City BELINGTON
State WV
ZIP 26250
Phone 304 823-3922
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2023
Certificate Expiration Date 8/16/2025
Facility Type Hospice
Lab Director DON TRIMBLE

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