51D2299189 CLIA NUMBER - VANDALIA HEALTH PRIMARY CARE PARKERSBURG SOUTH SUITE 2

Laboratory Demographics

  • CLIA Code: 51D2299189
  • Facility Name: VANDALIA HEALTH PRIMARY CARE PARKERSBURG SOUTH SUITE 2
  • Facility Address: 2838 PIKE STREET
    PARKERSBURG, WV
    ZIP 26101
  • Facility Phone: 304 865-3674
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JAMES N. SPYCHALSKI
  • NPI Number: 1689110702
  • Taxonomy: 363A00000X - Physician Assistant

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CLIA Record

Field Name Field Value
CLIA Number 51D2299189
LAB Type Physician Office
Facility Name VANDALIA HEALTH PRIMARY CARE PARKERSBURG SOUTH SUITE 2
Street 2838 PIKE STREET
City PARKERSBURG
State WV
ZIP 26101
Phone 304 865-3674
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/15/2024
Certificate Expiration Date 2/14/2026
Facility Type Physician Office
Lab Director DR. JAMES N. SPYCHALSKI

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