CLIA lab
CLIA 51D2170468: Premise Health of West Virginia Medical, Medical
Bridgeport, WV. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 51D2170468 belongs to Premise Health of West Virginia Medical, Medical in Bridgeport, WV.
Certificate of Waiver, effective August 13, 2025, expires August 12, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- August 13, 2025
- Certificate expiration
- August 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 13, 2019
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 51D2170468
- Lab name
- Premise Health of West Virginia Medical, Medical
- Additional name
- Corporation
- Address
- 1525 Midway Park Rd, Bridgeport, WV 26330
- Phone
- (304) 842-1390
- Fax
- (304) 842-1184
Annual test volume the lab reported
- Waived tests
- 10
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Crestview Terrace Leasing Co, LLCCertificate of Waiver, Skilled nursing or nursing facility51D0672451
- Dana E Bragg MDCertificate of Waiver, Physician office51D0910079
- Delta Lifestyle LLCCertificate of Waiver, Physician office51D2200928
Related
Questions
What is the CLIA number for Premise Health of West Virginia Medical, Medical in Bridgeport?
51D2170468, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Premise Health of West Virginia Medical, Medical hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 51D2170468 expire?
The CMS file lists August 12, 2027 as the certificate expiration date; the certificate took effect August 13, 2025.