51D2103691 CLIA NUMBER - PSIMED INC

Laboratory Demographics

  • CLIA Code: 51D2103691
  • Facility Name: PSIMED INC
  • Facility Address: 100 PEYTON WAY SUITE 200
    CHARLESTON, WV
    ZIP 25309
  • Facility Phone: 681 265-9047
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KIRAN DEVARAJ
  • NPI Number: 1013946920
  • Taxonomy: 103T00000X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 51D2103691
LAB Type Physician Office
Facility Name PSIMED INC
Street 100 PEYTON WAY SUITE 200
City CHARLESTON
State WV
ZIP 25309
Phone 681 265-9047
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2025
Certificate Expiration Date 10/18/2027
Facility Type Physician Office
Lab Director DR. KIRAN DEVARAJ

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