51D2167647 CLIA NUMBER - APPALACHIAN WELLNESS CLINIC

Laboratory Demographics

  • CLIA Code: 51D2167647
  • Facility Name: APPALACHIAN WELLNESS CLINIC
  • Facility Address: 425 STANAFORD ROAD
    BECKLEY, WV
    ZIP 25801
  • Facility Phone: 304 222-5817
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARYAM RANA
  • NPI Number: 1427563238
  • Taxonomy: 207QA0401X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 51D2167647
LAB Type Physician Office
Facility Name APPALACHIAN WELLNESS CLINIC
Street 425 STANAFORD ROAD
City BECKLEY
State WV
ZIP 25801
Phone 304 222-5817
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2025
Certificate Expiration Date 6/11/2027
Facility Type Physician Office
Lab Director MARYAM RANA

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