51D2318800 CLIA NUMBER - WILLOW HAVEN WELLNESS

Laboratory Demographics

  • CLIA Code: 51D2318800
  • Facility Name: WILLOW HAVEN WELLNESS
  • Facility Address: 195 CAPON SCHOOL ST, ROOM 5
    CAPON BRIDGE, WV
    ZIP 26711
  • Facility Phone: (304) 620-2150
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: SARAH DEY
  • NPI Number: 1649017286
  • Taxonomy: 367A00000X - Advanced Practice Midwife

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CLIA Record

Field Name Field Value
CLIA Number 51D2318800
LAB Type Practitioner Other
Facility Name WILLOW HAVEN WELLNESS
Street 195 CAPON SCHOOL ST, ROOM 5
City CAPON BRIDGE
State WV
ZIP 26711
Phone 3046202150
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/18/2025
Certificate Expiration Date 2/17/2027
Facility Type Practitioner Other
Lab Director SARAH DEY

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This page was last updated on: 6/29/2026