51D0912467 CLIA NUMBER - GUYAN VALLEY WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 51D0912467
  • Facility Name: GUYAN VALLEY WELLNESS CENTER
  • Facility Address: 5322 MCCLELLAN AVENUE
    BRANCHLAND, WV
    ZIP 25506
  • Facility Phone: 304 824-5707
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: COURTNEY REYNOLDS
  • NPI Number: 1255521027
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 51D0912467
LAB Type Federally Qualified Health Center
Facility Name GUYAN VALLEY WELLNESS CENTER
Street 5322 MCCLELLAN AVENUE
City BRANCHLAND
State WV
ZIP 25506
Phone 304 824-5707
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2024
Certificate Expiration Date 3/4/2026
Facility Type Federally Qualified Health Center
Lab Director COURTNEY REYNOLDS

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This page was last updated on: 6/4/2025