51D2075049 CLIA NUMBER - ANCHOR MEDICAL LLC

Laboratory Demographics

  • CLIA Code: 51D2075049
  • Facility Name: ANCHOR MEDICAL LLC
  • Facility Address: 106 LOCKHEED DR
    BEAVER, WV
    ZIP 25813
  • Facility Phone: 304 253-5155
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: TERESA L. TATE
  • NPI Number: 1114342243
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 51D2075049
LAB Type Practitioner Other
Facility Name ANCHOR MEDICAL LLC
Street 106 LOCKHEED DR
City BEAVER
State WV
ZIP 25813
Phone 304 253-5155
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2024
Certificate Expiration Date 3/20/2026
Facility Type Practitioner Other
Lab Director TERESA L. TATE

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