51D2085861 CLIA NUMBER - CHARLESTON JOB CORPS - WELLNESS DEPT

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Laboratory Demographics

CLIA Number: 51D2085861

Facility Name: CHARLESTON JOB CORPS - WELLNESS DEPT

Facility Address:
1000 CURTIS PRICE WAY
CHARLESTON, WV
ZIP 25311
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Facility Phone Number: 304 414-6532

Facility Type: Other - JOB CORP

Certificate Type: Microscopy

NPI Number: 1255349726

Taxonomy: 261QM0801X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	51D2085861
LAB Type	Other - JOB CORP
Facility Name	CHARLESTON JOB CORPS - WELLNESS DEPT
Street	1000 CURTIS PRICE WAY
City	CHARLESTON
State	WV
ZIP	25311
Phone	304 414-6532
CertificateType	3
CertificateEffectiveDate	10/24/2022
CertificateExpirationDate	10/23/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024