51D2269576 CLIA NUMBER - MOUNTAINEER WELLNESS AND RECOVERY CENTERS

Laboratory Demographics

  • CLIA Code: 51D2269576
  • Facility Name: MOUNTAINEER WELLNESS AND RECOVERY CENTERS
  • Facility Address: 511 BLUE PRINCE ROAD
    BLUEFIELD, WV
    ZIP 24701
  • Facility Phone: 681 207-3652
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LEO MUNCY
  • NPI Number: 1245819390
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 51D2269576
LAB Type Physician Office
Facility Name MOUNTAINEER WELLNESS AND RECOVERY CENTERS
Street 511 BLUE PRINCE ROAD
City BLUEFIELD
State WV
ZIP 24701
Phone 681 207-3652
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2024
Certificate Expiration Date 9/28/2026
Facility Type Physician Office
Lab Director LEO MUNCY

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