51D2317380 CLIA NUMBER - WEST VIRGINIA VETERANS HOME

Laboratory Demographics

  • CLIA Code: 51D2317380
  • Facility Name: WEST VIRGINIA VETERANS HOME
  • Facility Address: 512 WATER STREET
    BARBOURSVILLE, WV
    ZIP 25504
  • Facility Phone: 304 736-1027
  • Facility Type: Other - STATE DOMICILIARY
  • Facility Type: Waiver
  • Lab Director: SARINA J. VANCE
  • NPI Number: 1740202449
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D2317380
LAB Type Other - STATE DOMICILIARY
Facility Name WEST VIRGINIA VETERANS HOME
Street 512 WATER STREET
City BARBOURSVILLE
State WV
ZIP 25504
Phone 304 736-1027
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2025
Certificate Expiration Date 1/22/2027
Facility Type Other - STATE DOMICILIARY
Lab Director SARINA J. VANCE

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