FAIRMONT STATE UNIVERSITY
NPI 1326625252
Clinic/Center - Student Health in Fairmont, WV

Active since March 26, 2021CLIA 51D2045679 · Waiver
1201 LOCUST AVE FL 3, FAIRMONT, WV 26554(304) 367-4155 Get Directions Write a Review

NPPES record last updated: March 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fairmont State University NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAIRMONT STATE UNIVERSITY (NPI 1326625252) is a healthcare organization registered as a student health in Fairmont, West Virginia and active in the NPI registry since March 2021. The organization holds a CLIA Waiver certificate valid through August 16, 2026 and lists Mirta Martin, President, as its authorized official.

NPPES Registry Identity

NPI1326625252
Entity TypeOrganization
Primary Taxonomy261QS1000X
Legal Business NameFAIRMONT STATE UNIVERSITY
Location Address1201 LOCUST AVE FL 3Fairmont, WV 26554-2451
Mailing Address1201 Locust Ave Fl 3Fairmont, WV 26554-2451 · (304) 367-4155
Organization SubpartNo
Authorized OfficialMirta MartinPresident · (304) 367-4151
Enumeration DateMarch 26, 2021
NPPES CertifiedMarch 25, 2021
NPI 1326625252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Student HealthAmbulatory Health Care Facilities
Taxonomy Code261QS1000X
1201 LOCUST AVE FL 3, Fairmont, WV 26554

Other Names 1

Other NameFairmont State University Student Health Services

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 51D2045679

Fairmont State University - Student Health Service · Fairmont, WV
Active · expires Aug 16, 2026
CLIA Number51D2045679
Laboratory TypeSchool/Student Health Service
Certificate Effective DateAugust 17, 2024
Certificate Expiration DateAugust 16, 2026
Laboratory DirectorMegan Hawkins
Laboratory Phone(304) 367-4155
Laboratory LocationFairmont State University - Student Health Service3rd Floor Falcon Center 1201 Locust Avenue, Fairmont, WV 26554
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fairmont State University's NPI number?

The NPI number for Fairmont State University is 1326625252. It was assigned to this organization in the NPPES registry on March 26, 2021. The provider is also known as Fairmont State University Student Health Services.

Where is Fairmont State University located?

Fairmont State University is located at 1201 Locust Ave Fl 3, Fairmont, WV 26554. The listed phone number is (304) 367-4155.

What is Fairmont State University's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Student Health, with taxonomy code 261QS1000X.

Does Fairmont State University hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D2045679) is associated with this NPI, valid through August 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fairmont State University was last updated on March 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.