51D2014254 CLIA NUMBER - SOUTHERN WEST VIRGINIA HEALTH SYSTEM - CHAPMANVILLE

Laboratory Demographics

  • CLIA Code: 51D2014254
  • Facility Name: SOUTHERN WEST VIRGINIA HEALTH SYSTEM - CHAPMANVILLE
  • Facility Address: 40 SHAE AVENUE
    CHAPMANVILLE, WV
    ZIP 25508
  • Facility Phone: 304 855-2211
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. TOMAS VIGO-PAREDES
  • NPI Number: 1700196615
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 51D2014254
LAB Type Federally Qualified Health Center
Facility Name SOUTHERN WEST VIRGINIA HEALTH SYSTEM - CHAPMANVILLE
Street 40 SHAE AVENUE
City CHAPMANVILLE
State WV
ZIP 25508
Phone 304 855-2211
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2024
Certificate Expiration Date 10/4/2026
Facility Type Federally Qualified Health Center
Lab Director DR. TOMAS VIGO-PAREDES

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