CLIA Code Details

Clinical Laboratory Code : 51D2314074

LEGACY FAMILY MEDICINE, LLC (PRACTITIONER OTHER)

Clinical Laboratory Information

Similar CLIA Codes
CLIA Number 51D2314074
Clinical laboratory number
Lab Name LEGACY FAMILY MEDICINE, LLC
Laboratory Name
Lab Type Practitioner Other
Laboratory Type
Certificate Type Waiver
Clinical laboratory certificate type

Contacts

Phone 304-784-4995
Laboratory telephone number
Fax 304-853-5369
Fax number of the provider.

Facility Location

Street Address 1113 2ND AVENUE
Primary location adress line
City WEST LOGAN
Primary location city name
State WV
Primary location state name
Zip 25601
Primary location postal code

Directions to "LEGACY FAMILY MEDICINE, LLC" Facility Location

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