51D2270326 CLIA NUMBER - PROFESSIONAL PARK LEASING CO, LLC DBA STONERISE SUMMERSVILLE

Laboratory Demographics

  • CLIA Code: 51D2270326
  • Facility Name: PROFESSIONAL PARK LEASING CO, LLC DBA STONERISE SUMMERSVILLE
  • Facility Address: 712 PROFESSIONAL PARK DR
    SUMMERSVILLE, WV
    ZIP 26651
  • Facility Phone: 304 926-2756
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. SCOTT KEFFER
  • NPI Number: 1679295414
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 51D2270326
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PROFESSIONAL PARK LEASING CO, LLC DBA STONERISE SUMMERSVILLE
Street 712 PROFESSIONAL PARK DR
City SUMMERSVILLE
State WV
ZIP 26651
Phone 304 926-2756
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2024
Certificate Expiration Date 10/12/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. SCOTT KEFFER

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