51D2158772 CLIA NUMBER - JACKSON GENERAL CARE CLINIC

Laboratory Demographics

  • CLIA Code: 51D2158772
  • Facility Name: JACKSON GENERAL CARE CLINIC
  • Facility Address: 509 S CHURCH ST
    RIPLEY, WV
    ZIP 25271
  • Facility Phone: 304 373-1507
  • Facility Type: Other - URGENT CARE CLINIC
  • Facility Type: Waiver
  • Lab Director: PATRICIA SWANN
  • NPI Number: 1043477235
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 51D2158772
LAB Type Other - URGENT CARE CLINIC
Facility Name JACKSON GENERAL CARE CLINIC
Street 509 S CHURCH ST
City RIPLEY
State WV
ZIP 25271
Phone 304 373-1507
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2024
Certificate Expiration Date 12/5/2026
Facility Type Other - URGENT CARE CLINIC
Lab Director PATRICIA SWANN

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