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51D2290008 CLIA NUMBER - WEIRTON MEDICAL PHYSICIAN PRACTICES WFM

Laboratory Demographics

CLIA Number: 51D2290008

Facility Name: WEIRTON MEDICAL PHYSICIAN PRACTICES WFM

Facility Address:
131 AMERICAN WAY SUITE A
WEIRTON, WV
ZIP 26062
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Facility Phone Number: 304 797-6200

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1962506212

Taxonomy: 314000000X - Skilled Nursing Facility
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

CLIA Record

Field Name Field Value
CLIA Number 51D2290008
LAB Type Physician Office
Facility Name WEIRTON MEDICAL PHYSICIAN PRACTICES WFM
Street 131 AMERICAN WAY SUITE A
City WEIRTON
State WV
ZIP 26062
Phone 304 797-6200
CertificateType 4
CertificateEffectiveDate 9/19/2023
CertificateExpirationDate 9/18/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024