51D2051440 CLIA NUMBER - RURAL HEALTH ACCESS CORP, DBA COALFIELD HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 51D2051440
  • Facility Name: RURAL HEALTH ACCESS CORP, DBA COALFIELD HEALTH CENTER
  • Facility Address: 386 AIRPORT RD
    CHAPMANVILLE, WV
    ZIP 25508
  • Facility Phone: 304 855-1200
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. JON BOWEN
  • NPI Number: 1942699608
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 51D2051440
LAB Type Federally Qualified Health Center
Facility Name RURAL HEALTH ACCESS CORP, DBA COALFIELD HEALTH CENTER
Street 386 AIRPORT RD
City CHAPMANVILLE
State WV
ZIP 25508
Phone 304 855-1200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2024
Certificate Expiration Date 12/18/2026
Facility Type Federally Qualified Health Center
Lab Director DR. JON BOWEN

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