51D2020323 CLIA NUMBER - RIVERVIEW PEDIATRICS PLLC

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Laboratory Demographics

CLIA Number: 51D2020323

Facility Name: RIVERVIEW PEDIATRICS PLLC

Facility Address:
1217 BLIZZARD DR
PARKERSBURG, WV
ZIP 26101
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Facility Phone Number: 304 916-1714

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1114162765

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	51D2020323
LAB Type	Physician Office
Facility Name	RIVERVIEW PEDIATRICS PLLC
Street	1217 BLIZZARD DR
City	PARKERSBURG
State	WV
ZIP	26101
Phone	304 916-1714
CertificateType	4
CertificateEffectiveDate	2/16/2023
CertificateExpirationDate	2/15/2025
FacilityType	Waiver

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