Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
51D1084347
|
|
Clinical laboratory number
|
|
Lab Name
|
STONEWALL PHYSICIAN SERVICES
|
|
Laboratory Name
|
|
Lab Type
|
Physician Office
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
304-473-0670
|
|
Laboratory telephone number
|
|
Fax
|
304-472-5255
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
132 CINEMA CIRCLE
|
|
Primary location adress line
|
|
City
|
BUCKHANNON
|
|
Primary location city name
|
|
State
|
WV
|
|
Primary location state name
|
|
Zip
|
26201
|
|
Primary location postal code
|