51D2087651 CLIA NUMBER - QUEST DIAGNOSTICS INC SHENANDOAH COMMUNITY HEALTH

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Laboratory Demographics

CLIA Number: 51D2087651

Facility Name: QUEST DIAGNOSTICS INC SHENANDOAH COMMUNITY HEALTH

Facility Address:
99 TAVERN ROAD
MARTINSBURG, WV
ZIP 25401
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Facility Phone Number: 410 314-1546

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1659762466

Taxonomy: 3336C0002X - Pharmacy
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

CLIA Record

Field Name	Field Value
CLIA Number	51D2087651
LAB Type	Physician Office
Facility Name	QUEST DIAGNOSTICS INC SHENANDOAH COMMUNITY HEALTH
Street	99 TAVERN ROAD
City	MARTINSBURG
State	WV
ZIP	25401
Phone	410 314-1546
CertificateType	2
CertificateEffectiveDate	7/27/2023
CertificateExpirationDate	7/26/2025
FacilityType	Compliance

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