51D2111591 CLIA NUMBER - FAIRMONT EYE CARE

Laboratory Demographics

  • CLIA Code: 51D2111591
  • Facility Name: FAIRMONT EYE CARE
  • Facility Address: 709 MORGANTOWN AVENUE
    FAIRMONT, WV
    ZIP 26554
  • Facility Phone: 304 336-4721
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MARTIN W. CARPENTER OD
  • NPI Number: 1326625252
  • Taxonomy: 261QS1000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 51D2111591
LAB Type Practitioner Other
Facility Name FAIRMONT EYE CARE
Street 709 MORGANTOWN AVENUE
City FAIRMONT
State WV
ZIP 26554
Phone 304 336-4721
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2024
Certificate Expiration Date 4/10/2026
Facility Type Practitioner Other
Lab Director MARTIN W. CARPENTER OD

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This page was last updated on: 6/4/2025