51D2091379 CLIA NUMBER - OVP HEALTH

Laboratory Demographics

  • CLIA Code: 51D2091379
  • Facility Name: OVP HEALTH
  • Facility Address: 557 MAIN STREET
    LOGAN, WV
    ZIP 25601
  • Facility Phone: 304 429-1088
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. STEPHEN SHY II
  • NPI Number: 1861049546
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 51D2091379
LAB Type Physician Office
Facility Name OVP HEALTH
Street 557 MAIN STREET
City LOGAN
State WV
ZIP 25601
Phone 304 429-1088
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2025
Certificate Expiration Date 2/11/2027
Facility Type Physician Office
Lab Director DR. STEPHEN SHY II

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