51D2102641 CLIA NUMBER - PATHOLOGY AND LABORATORY MEDICINE RESEARCH LABORATORY

Laboratory Demographics

  • CLIA Code: 51D2102641
  • Facility Name: PATHOLOGY AND LABORATORY MEDICINE RESEARCH LABORATORY
  • Facility Address: ROBERT C BYRD HSC, PATHOLOGY, ROOMS 2122, 2128
    MORGANTOWN, WV
    ZIP 26506
  • Facility Phone: 304 293-0782
  • Facility Type: Practitioner Other
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. PENG C. HAN
  • NPI Number: 1164670873
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 51D2102641
LAB Type Practitioner Other
Facility Name PATHOLOGY AND LABORATORY MEDICINE RESEARCH LABORATORY
Street ROBERT C BYRD HSC, PATHOLOGY, ROOMS 2122, 2128
City MORGANTOWN
State WV
ZIP 26506
Phone 304 293-0782
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 12/9/2023
Certificate Expiration Date 12/8/2025
Facility Type Practitioner Other
Lab Director DR. PENG C. HAN

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