51D2096499 CLIA NUMBER - SUMMERSVILLE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 51D2096499
  • Facility Name: SUMMERSVILLE PEDIATRICS
  • Facility Address: 142 NORTH COURT SQUARE
    WEBSTER SPRINGS, WV
    ZIP 26288
  • Facility Phone: 304 872-7063
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KATHERINE D. MORRIS FNP BC
  • NPI Number: 1134197882
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 51D2096499
LAB Type Physician Office
Facility Name SUMMERSVILLE PEDIATRICS
Street 142 NORTH COURT SQUARE
City WEBSTER SPRINGS
State WV
ZIP 26288
Phone 304 872-7063
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/27/2025
Certificate Expiration Date 5/26/2027
Facility Type Physician Office
Lab Director KATHERINE D. MORRIS FNP BC

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