51D2216430 CLIA NUMBER - BANDAK PLASTIC SURGERY

Laboratory Demographics

  • CLIA Code: 51D2216430
  • Facility Name: BANDAK PLASTIC SURGERY
  • Facility Address: 610 50TH ST SE
    CHARLESTON, WV
    ZIP 25304
  • Facility Phone: (304) 925-4665
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. ABDALLA Z. BANDAK
  • NPI Number: 1457564213
  • Taxonomy: 2086S0122X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 51D2216430
LAB Type Ambulatory Surgery Center
Facility Name BANDAK PLASTIC SURGERY
Street 610 50TH ST SE
City CHARLESTON
State WV
ZIP 25304
Phone 3049254665
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2025
Certificate Expiration Date 3/11/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. ABDALLA Z. BANDAK

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This page was last updated on: 5/15/2026