CLIA lab
CLIA 51D2276702: Pediatric Subspecialty & Telemedicine Clinic
Vienna, WV. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 51D2276702 belongs to Pediatric Subspecialty & Telemedicine Clinic in Vienna, WV.
Certificate of Waiver, effective February 14, 2025, expires February 13, 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
- February 14, 2025
- Certificate expiration
- February 13, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 14, 2023
- 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
- 51D2276702
- Lab name
- Pediatric Subspecialty & Telemedicine Clinic
- Additional name
- Vienna
- Address
- 800 Grand Central Mall Suite 11, Vienna, WV 26105
- Phone
- (304) 424-4150
- Fax
- (304) 424-4155
Annual test volume the lab reported
- Waived tests
- 2,500
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 Pediatric Subspecialty & Telemedicine Clinic in Vienna?
51D2276702, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pediatric Subspecialty & Telemedicine Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 51D2276702 expire?
The CMS file lists February 13, 2027 as the certificate expiration date; the certificate took effect February 14, 2025.