51D2226646 CLIA NUMBER - FAMILYCARE HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 51D2226646
  • Facility Name: FAMILYCARE HEALTH CENTER
  • Facility Address: 1220 LEE ST E, SUITE 201
    CHARLESTON, WV
    ZIP 25301
  • Facility Phone: (304) 757-6999
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: DR. MARY B. JENKINS
  • NPI Number: 1003085903
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 51D2226646
LAB Type Federally Qualified Health Center
Facility Name FAMILYCARE HEALTH CENTER
Street 1220 LEE ST E, SUITE 201
City CHARLESTON
State WV
ZIP 25301
Phone 3047576999
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/2/2025
Certificate Expiration Date 6/1/2027
Facility Type Federally Qualified Health Center
Lab Director DR. MARY B. JENKINS

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