51D2238805 CLIA NUMBER - RRG BEHAVIORAL HEALTH

Laboratory Demographics

  • CLIA Code: 51D2238805
  • Facility Name: RRG BEHAVIORAL HEALTH
  • Facility Address: 900 20TH STREET
    HUNTINGTON, WV
    ZIP 25703
  • Facility Phone: 681 378-3908
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFREY MAYNARD II
  • NPI Number: 1669066858
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 51D2238805
LAB Type Physician Office
Facility Name RRG BEHAVIORAL HEALTH
Street 900 20TH STREET
City HUNTINGTON
State WV
ZIP 25703
Phone 681 378-3908
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2025
Certificate Expiration Date 10/5/2027
Facility Type Physician Office
Lab Director JEFFREY MAYNARD II

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