51D2260846 CLIA NUMBER - DEVARAJ BEHAVIORAL HEALTHCARE

Laboratory Demographics

  • CLIA Code: 51D2260846
  • Facility Name: DEVARAJ BEHAVIORAL HEALTHCARE
  • Facility Address: 412 TENNESSEE AVE
    CHARLESTON, WV
    ZIP 25302
  • Facility Phone: (877) 338-2725
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KIRAN S. DEVARAJ
  • NPI Number: 1093362840
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 51D2260846
LAB Type Physician Office
Facility Name DEVARAJ BEHAVIORAL HEALTHCARE
Street 412 TENNESSEE AVE
City CHARLESTON
State WV
ZIP 25302
Phone 8773382725
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2024
Certificate Expiration Date 5/23/2026
Facility Type Physician Office
Lab Director DR. KIRAN S. DEVARAJ

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