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51D2019767 CLIA NUMBER - WV PRIMARY CARE INC

Laboratory Demographics

CLIA Number: 51D2019767

Facility Name: WV PRIMARY CARE INC

Facility Address:
924 CROSS LANES DRIVE
CROSS LANES, WV
ZIP 25313
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Facility Phone Number: 304 776-9872

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1821317330

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 51D2019767
LAB Type Physician Office
Facility Name WV PRIMARY CARE INC
Street 924 CROSS LANES DRIVE
City CROSS LANES
State WV
ZIP 25313
Phone 304 776-9872
CertificateType 4
CertificateEffectiveDate 2/4/2023
CertificateExpirationDate 2/3/2025
FacilityType Waiver

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