51D2080002 CLIA NUMBER - WEST FAIRMONT CLINIC

Laboratory Demographics

  • CLIA Code: 51D2080002
  • Facility Name: WEST FAIRMONT CLINIC
  • Facility Address: 1377 LOCUST AVENUE
    FAIRMONT, WV
    ZIP 26554
  • Facility Phone: 304 285-7576
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BONNIE DIEP

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CLIA Record

Field Name Field Value
CLIA Number 51D2080002
LAB Type Physician Office
Facility Name WEST FAIRMONT CLINIC
Street 1377 LOCUST AVENUE
City FAIRMONT
State WV
ZIP 26554
Phone 304 285-7576
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2024
Certificate Expiration Date 6/26/2026
Facility Type Physician Office
Lab Director DR. BONNIE DIEP

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