51D2155927 CLIA NUMBER - ACCESS HEALTH PROFESSIONAL PARK

Laboratory Demographics

  • CLIA Code: 51D2155927
  • Facility Name: ACCESS HEALTH PROFESSIONAL PARK
  • Facility Address: 224 PROFESSIONAL PARK
    BECKLEY, WV
    ZIP 25801
  • Facility Phone: 304 255-9444
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: DR. SURAYIA T. HASAN
  • NPI Number: 1861971541
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 51D2155927
LAB Type Rural Health Clinic
Facility Name ACCESS HEALTH PROFESSIONAL PARK
Street 224 PROFESSIONAL PARK
City BECKLEY
State WV
ZIP 25801
Phone 304 255-9444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2024
Certificate Expiration Date 10/8/2026
Facility Type Rural Health Clinic
Lab Director DR. SURAYIA T. HASAN

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