51D2179754 CLIA NUMBER - TYLER COUNTY UNIT #1

Laboratory Demographics

  • CLIA Code: 51D2179754
  • Facility Name: TYLER COUNTY UNIT #1
  • Facility Address: 100 WILCOX AVE
    MIDDLEBOURNE, WV
    ZIP 26149
  • Facility Phone: 304 771-1716
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: PATRICIA L. KELLER
  • NPI Number: 1982603270
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 51D2179754
LAB Type Ambulance
Facility Name TYLER COUNTY UNIT #1
Street 100 WILCOX AVE
City MIDDLEBOURNE
State WV
ZIP 26149
Phone 304 771-1716
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/2/2024
Certificate Expiration Date 3/1/2026
Facility Type Ambulance
Lab Director PATRICIA L. KELLER

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