51D2110089 CLIA NUMBER - PIONEER HEALTH CENTER

Laboratory Demographics

CLIA Number: 51D2110089

Facility Name: PIONEER HEALTH CENTER

Facility Address:
1 PIONEER PATH
MAN, WV
ZIP 25635
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Facility Phone Number: 304 583-7295

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1447619416

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	51D2110089
LAB Type	School/Student Health Service
Facility Name	PIONEER HEALTH CENTER
Street	1 PIONEER PATH
City	MAN
State	WV
ZIP	25635
Phone	304 583-7295
CertificateType	4
CertificateEffectiveDate	3/8/2024
CertificateExpirationDate	3/7/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024