51D2178472 CLIA NUMBER - DODDRIDGE COUNTY AMBULANCE AUTHORITY

Laboratory Demographics

  • CLIA Code: 51D2178472
  • Facility Name: DODDRIDGE COUNTY AMBULANCE AUTHORITY
  • Facility Address: 88 NICHOLSON LANE
    WEST UNION, WV
    ZIP 26456
  • Facility Phone: 304 873-3650
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: CODY M. JOE
  • NPI Number: 1609185933
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 51D2178472
LAB Type Ambulance
Facility Name DODDRIDGE COUNTY AMBULANCE AUTHORITY
Street 88 NICHOLSON LANE
City WEST UNION
State WV
ZIP 26456
Phone 304 873-3650
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2024
Certificate Expiration Date 2/3/2026
Facility Type Ambulance
Lab Director CODY M. JOE

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