51D2179780 CLIA NUMBER - MOUNTAIN STATE DIABETES PLLC

Laboratory Demographics

  • CLIA Code: 51D2179780
  • Facility Name: MOUNTAIN STATE DIABETES PLLC
  • Facility Address: 1900 GARFIELD AVE, SUITE A
    PARKERSBURG, WV
    ZIP 26101
  • Facility Phone: (877) 377-8427
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DAVID N. PICKERING
  • NPI Number: 1548892532
  • Taxonomy: 207RE0101X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 51D2179780
LAB Type Physician Office
Facility Name MOUNTAIN STATE DIABETES PLLC
Street 1900 GARFIELD AVE, SUITE A
City PARKERSBURG
State WV
ZIP 26101
Phone 8773778427
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/2/2026
Certificate Expiration Date 3/1/2028
Facility Type Physician Office
Lab Director DR. DAVID N. PICKERING

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026