CLIA lab
CLIA 51D2314074: Legacy Family Medicine, LLC
West Logan, WV. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 51D2314074 belongs to Legacy Family Medicine, LLC in West Logan, WV.
Certificate of Waiver, effective November 13, 2024, expires November 12, 2026.
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
- November 13, 2024
- Certificate expiration
- November 12, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 13, 2024
- Facility type
- Other practitioner
- 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
- 51D2314074
- Lab name
- Legacy Family Medicine, LLC
- Address
- 1113 2nd Avenue, West Logan, WV 25601
- Phone
- (304) 784-4995
- Fax
- (304) 853-5369
Annual test volume the lab reported
- Waived tests
- 4,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for Legacy Family Medicine, LLC in West Logan?
51D2314074, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Legacy Family Medicine, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 51D2314074 expire?
The CMS file lists November 12, 2026 as the certificate expiration date; the certificate took effect November 13, 2024.