51D2260481 CLIA NUMBER - MCDOWELL COUNTY DAY REPORT

Laboratory Demographics

  • CLIA Code: 51D2260481
  • Facility Name: MCDOWELL COUNTY DAY REPORT
  • Facility Address: 109 WYOMING STREET
    WELCH, WV
    ZIP 24801
  • Facility Phone: 304 436-9009
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: PERRY BLANKENSHIP
  • NPI Number: 1962098947
  • Taxonomy: 101YP2500X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 51D2260481
LAB Type Community Clinic
Facility Name MCDOWELL COUNTY DAY REPORT
Street 109 WYOMING STREET
City WELCH
State WV
ZIP 24801
Phone 304 436-9009
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2024
Certificate Expiration Date 5/18/2026
Facility Type Community Clinic
Lab Director PERRY BLANKENSHIP

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