Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
51D0966267
|
|
Clinical laboratory number
|
|
Lab Name
|
MOUNTAINEER HOMECARE, LLC
|
|
Laboratory Name
|
|
Lab Type
|
Home Health Agency
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
304-422-9293
|
|
Laboratory telephone number
|
|
Fax
|
304-422-9294
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
417 GRAND PARK DRIVE, SUITE 203
|
|
Primary location adress line
|
|
City
|
PARKERSBURG
|
|
Primary location city name
|
|
State
|
WV
|
|
Primary location state name
|
|
Zip
|
26105-4049
|
|
Primary location postal code
|