51D2142546 CLIA NUMBER - ONCALL HEALTH AND AESTHETIC CARE

Laboratory Demographics

  • CLIA Code: 51D2142546
  • Facility Name: ONCALL HEALTH AND AESTHETIC CARE
  • Facility Address: 402 C ST
    CEREDO, WV
    ZIP 25507
  • Facility Phone: 304 908-1206
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MR. TIMOTHY S. MAYNARD
  • NPI Number: 1679944383
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 51D2142546
LAB Type Practitioner Other
Facility Name ONCALL HEALTH AND AESTHETIC CARE
Street 402 C ST
City CEREDO
State WV
ZIP 25507
Phone 304 908-1206
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2024
Certificate Expiration Date 1/11/2026
Facility Type Practitioner Other
Lab Director MR. TIMOTHY S. MAYNARD

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