51D2207639 CLIA NUMBER - THREE RIVERS CLINIC, LLC

Laboratory Demographics

  • CLIA Code: 51D2207639
  • Facility Name: THREE RIVERS CLINIC, LLC
  • Facility Address: 158 HINTON RD
    HINTON, WV
    ZIP 25951
  • Facility Phone: 304 309-4143
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: MAGGIE CLENDENEN
  • NPI Number: 1023612504
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 51D2207639
LAB Type Community Clinic
Facility Name THREE RIVERS CLINIC, LLC
Street 158 HINTON RD
City HINTON
State WV
ZIP 25951
Phone 304 309-4143
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/30/2024
Certificate Expiration Date 12/29/2026
Facility Type Community Clinic
Lab Director MAGGIE CLENDENEN

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