51D2103334 CLIA NUMBER - TRI-STATE ALLERGY INC

Laboratory Demographics

  • CLIA Code: 51D2103334
  • Facility Name: TRI-STATE ALLERGY INC
  • Facility Address: 1001 20TH STREET
    HUNTINGTON, WV
    ZIP 25703
  • Facility Phone: 304 529-6100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MATTHEW C. WILSON MD
  • NPI Number: 1649312083
  • Taxonomy: 207KA0200X - Allergy & Immunology

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CLIA Record

Field Name Field Value
CLIA Number 51D2103334
LAB Type Physician Office
Facility Name TRI-STATE ALLERGY INC
Street 1001 20TH STREET
City HUNTINGTON
State WV
ZIP 25703
Phone 304 529-6100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2025
Certificate Expiration Date 10/8/2027
Facility Type Physician Office
Lab Director MATTHEW C. WILSON MD

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