51D2312217 CLIA NUMBER - MOUNTAIN HEART COMMUNITY SERVICES

Laboratory Demographics

  • CLIA Code: 51D2312217
  • Facility Name: MOUNTAIN HEART COMMUNITY SERVICES
  • Facility Address: 33 MOUNTAIN HEART LANE
    MATHENY, WV
    ZIP 24860
  • Facility Phone: (304) 682-8271
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: SUSAN STAFFORD
  • NPI Number: 1932326121
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 51D2312217
LAB Type School/Student Health Service
Facility Name MOUNTAIN HEART COMMUNITY SERVICES
Street 33 MOUNTAIN HEART LANE
City MATHENY
State WV
ZIP 24860
Phone 3046828271
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2024
Certificate Expiration Date 10/6/2026
Facility Type School/Student Health Service
Lab Director SUSAN STAFFORD

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