51D2099872 CLIA NUMBER - VIRGINIA MANOR

Laboratory Demographics

  • CLIA Code: 51D2099872
  • Facility Name: VIRGINIA MANOR
  • Facility Address: 1112 VIRGINIA STREET
    RAVENSWOOD, WV
    ZIP 26164
  • Facility Phone: 304 273-9482
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KIMBERLY BARNES
  • NPI Number: 1669081303
  • Taxonomy: 3747P1801X - Technician

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CLIA Record

Field Name Field Value
CLIA Number 51D2099872
LAB Type Assisted Living Facility
Facility Name VIRGINIA MANOR
Street 1112 VIRGINIA STREET
City RAVENSWOOD
State WV
ZIP 26164
Phone 304 273-9482
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2025
Certificate Expiration Date 8/3/2027
Facility Type Assisted Living Facility
Lab Director KIMBERLY BARNES

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