51D2053567 CLIA NUMBER - JOHN MANCHIN SR ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 51D2053567
  • Facility Name: JOHN MANCHIN SR ASSISTED LIVING
  • Facility Address: 3205 HUSKY HIGHWAY
    FARMINGTON, WV
    ZIP 26571
  • Facility Phone: 304 825-1900
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DR. JOHN MANCHIN II
  • NPI Number: 1134231640
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 51D2053567
LAB Type Assisted Living Facility
Facility Name JOHN MANCHIN SR ASSISTED LIVING
Street 3205 HUSKY HIGHWAY
City FARMINGTON
State WV
ZIP 26571
Phone 304 825-1900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2025
Certificate Expiration Date 2/3/2027
Facility Type Assisted Living Facility
Lab Director DR. JOHN MANCHIN II

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