51D2248423 CLIA NUMBER - CLEAN & CLEAR ADVANTAGE LLC

Laboratory Demographics

  • CLIA Code: 51D2248423
  • Facility Name: CLEAN & CLEAR ADVANTAGE LLC
  • Facility Address: 425 JULIANA ST
    PARKERSBURG, WV
    ZIP 26101
  • Facility Phone: 917 863-4133
  • Facility Type: Other - MENTAL HEALTH DRUG & ALCO
  • Facility Type: Waiver
  • Lab Director: DR. MARK MCDANIEL
  • NPI Number: 1790390839
  • Taxonomy: 101YA0400X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 51D2248423
LAB Type Other - MENTAL HEALTH DRUG & ALCO
Facility Name CLEAN & CLEAR ADVANTAGE LLC
Street 425 JULIANA ST
City PARKERSBURG
State WV
ZIP 26101
Phone 917 863-4133
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2024
Certificate Expiration Date 1/12/2026
Facility Type Other - MENTAL HEALTH DRUG & ALCO
Lab Director DR. MARK MCDANIEL

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