51D2028519 CLIA NUMBER - SPRING VALLEY FAMILY CARE

Laboratory Demographics

  • CLIA Code: 51D2028519
  • Facility Name: SPRING VALLEY FAMILY CARE
  • Facility Address: 8685 CUMBERLAND RD
    SPRINGFIELD, WV
    ZIP 26763
  • Facility Phone: 304 822-2500
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MARCIA L. KESNER NP
  • NPI Number: 1629364351
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 51D2028519
LAB Type Practitioner Other
Facility Name SPRING VALLEY FAMILY CARE
Street 8685 CUMBERLAND RD
City SPRINGFIELD
State WV
ZIP 26763
Phone 304 822-2500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2023
Certificate Expiration Date 8/17/2025
Facility Type Practitioner Other
Lab Director MARCIA L. KESNER NP

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