51D2113452 CLIA NUMBER - SOUTH CHARLESTON EMPLOYEE HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 51D2113452
  • Facility Name: SOUTH CHARLESTON EMPLOYEE HEALTH CLINIC
  • Facility Address: 18 RIVERWALK PLAZA
    SOUTH CHARLESTON, WV
    ZIP 25303
  • Facility Phone: 615 830-4081
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEVIN RAINBOLT
  • NPI Number: 1508895475
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 51D2113452
LAB Type Physician Office
Facility Name SOUTH CHARLESTON EMPLOYEE HEALTH CLINIC
Street 18 RIVERWALK PLAZA
City SOUTH CHARLESTON
State WV
ZIP 25303
Phone 615 830-4081
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2024
Certificate Expiration Date 5/22/2026
Facility Type Physician Office
Lab Director KEVIN RAINBOLT

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