51D2146849 CLIA NUMBER - OHIO VALLEY PHYSICIAN INC

Laboratory Demographics

  • CLIA Code: 51D2146849
  • Facility Name: OHIO VALLEY PHYSICIAN INC
  • Facility Address: 312 HUDGINS ST
    LOGAN, WV
    ZIP 25601
  • Facility Phone: 304 429-1088
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. STEPHEN SHY II
  • NPI Number: 1326411323
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 51D2146849
LAB Type Physician Office
Facility Name OHIO VALLEY PHYSICIAN INC
Street 312 HUDGINS ST
City LOGAN
State WV
ZIP 25601
Phone 304 429-1088
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2024
Certificate Expiration Date 4/5/2026
Facility Type Physician Office
Lab Director DR. STEPHEN SHY II

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