51D2071429 CLIA NUMBER - MOUNTAIN LAUREL MEDICAL CENTER - BRUCETON

Laboratory Demographics

  • CLIA Code: 51D2071429
  • Facility Name: MOUNTAIN LAUREL MEDICAL CENTER - BRUCETON
  • Facility Address: 198 MORGANTOWN STREET SUITE 2
    BRUCETON MILLS, WV
    ZIP 26525
  • Facility Phone: 301 533-3300
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. CHRISTOPHER M. FERRELL
  • NPI Number: 1295228161
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 51D2071429
LAB Type Federally Qualified Health Center
Facility Name MOUNTAIN LAUREL MEDICAL CENTER - BRUCETON
Street 198 MORGANTOWN STREET SUITE 2
City BRUCETON MILLS
State WV
ZIP 26525
Phone 301 533-3300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2025
Certificate Expiration Date 2/9/2027
Facility Type Federally Qualified Health Center
Lab Director DR. CHRISTOPHER M. FERRELL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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