CLIA lab

CLIA 51D2216430: Bandak Plastic Surgery

Charleston, WV. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 51D2216430 belongs to Bandak Plastic Surgery in Charleston, WV.

Certificate of Waiver, effective March 12, 2025, expires March 11, 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
March 12, 2025
Certificate expiration
March 11, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 12, 2021
Facility type
Ambulatory surgery center
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
51D2216430
Lab name
Bandak Plastic Surgery
Address
610 50th St SE, Charleston, WV 25304
Phone
(304) 925-4665
Fax
(304) 925-4666

Annual test volume the lab reported

Waived tests
100

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Bandak Plastic Surgery in Charleston?

51D2216430, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Bandak Plastic Surgery hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 51D2216430 expire?

The CMS file lists March 11, 2027 as the certificate expiration date; the certificate took effect March 12, 2025.

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