51D2080943 CLIA NUMBER - FAMILYCARE HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 51D2080943
  • Facility Name: FAMILYCARE HEALTH CENTER
  • Facility Address: 830 PENNSYLVANIA AVE SUITE 402
    CHARLESTON, WV
    ZIP 25302
  • Facility Phone: 304 757-6999
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: MARY B. JENKINS
  • NPI Number: 1154734465
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 51D2080943
LAB Type Federally Qualified Health Center
Facility Name FAMILYCARE HEALTH CENTER
Street 830 PENNSYLVANIA AVE SUITE 402
City CHARLESTON
State WV
ZIP 25302
Phone 304 757-6999
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/17/2024
Certificate Expiration Date 7/16/2026
Facility Type Federally Qualified Health Center
Lab Director MARY B. JENKINS

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: 9/29/2025