51D2055311 CLIA NUMBER - LOGAN WILDCAT CENTER FOR HEALTH

Laboratory Demographics

  • CLIA Code: 51D2055311
  • Facility Name: LOGAN WILDCAT CENTER FOR HEALTH
  • Facility Address: 1 WILDCAT WAY
    LOGAN, WV
    ZIP 25601
  • Facility Phone: 304 688-9949
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: COURTNEY REYNOLDS
  • NPI Number: 1366723975
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 51D2055311
LAB Type School/Student Health Service
Facility Name LOGAN WILDCAT CENTER FOR HEALTH
Street 1 WILDCAT WAY
City LOGAN
State WV
ZIP 25601
Phone 304 688-9949
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2025
Certificate Expiration Date 3/7/2027
Facility Type School/Student Health Service
Lab Director COURTNEY REYNOLDS

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