51D2181334 CLIA NUMBER - HUNDRED VOLUNTEER FIRE COMPANY

Laboratory Demographics

  • CLIA Code: 51D2181334
  • Facility Name: HUNDRED VOLUNTEER FIRE COMPANY
  • Facility Address: 161 PENNSYLVANIA AVE
    HUNDRED, WV
    ZIP 26575
  • Facility Phone: 304 775-2384
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: KEITH WILLIAMS
  • NPI Number: 1598315293
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 51D2181334
LAB Type Ambulance
Facility Name HUNDRED VOLUNTEER FIRE COMPANY
Street 161 PENNSYLVANIA AVE
City HUNDRED
State WV
ZIP 26575
Phone 304 775-2384
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2024
Certificate Expiration Date 3/31/2026
Facility Type Ambulance
Lab Director KEITH WILLIAMS

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