51D2169085 CLIA NUMBER - MINERAL CO RURAL HEALTH CLINIC OF POTOMAC VALLEY HOSPITAL

Laboratory Demographics

  • CLIA Code: 51D2169085
  • Facility Name: MINERAL CO RURAL HEALTH CLINIC OF POTOMAC VALLEY HOSPITAL
  • Facility Address: 100 PIN OAK LN STE 3
    KEYSER, WV
    ZIP 26726
  • Facility Phone: 304 597-3700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. HARSHAD BOKIL
  • NPI Number: 1134882988
  • Taxonomy: 101YM0800X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 51D2169085
LAB Type Physician Office
Facility Name MINERAL CO RURAL HEALTH CLINIC OF POTOMAC VALLEY HOSPITAL
Street 100 PIN OAK LN STE 3
City KEYSER
State WV
ZIP 26726
Phone 304 597-3700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2025
Certificate Expiration Date 7/15/2027
Facility Type Physician Office
Lab Director DR. HARSHAD BOKIL

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