JEFFERSON URGENT CARE, LLC (LAB)
NPI 1538230982
Clinical Medical Laboratory in Charles Town, WV

Active since November 09, 2006CLIA 51D0943200 · Waiver
84 SOMERSET BLVD, CHARLES TOWN, WV 25414(304) 728-8543(304) 728-8644 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jefferson Urgent Care, Llc (lab) NPPES

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

JEFFERSON URGENT CARE, LLC (LAB) (NPI 1538230982) is a healthcare organization registered as a clinical medical laboratory in Charles Town, West Virginia and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through January 14, 2027 and lists Duane C Bailey, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1538230982
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameJEFFERSON URGENT CARE, LLC
Location Address84 SOMERSET BLVDCharles Town, WV 25414-4827
Mailing Address84 Somerset BlvdCharles Town, WV 25414-4827 · (304) 728-8543 · Fax (304) 728-8644
Fax(304) 728-8644
Organization SubpartNo
Authorized OfficialDuane C BaileyPractice Manager · (304) 728-8543
Enumeration DateNovember 9, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1538230982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
84 SOMERSET BLVD, Charles Town, WV 25414

Other Names 1

Other NameJefferson Urgent Care, Llc (lab)

Other Identifiers 1

Medicaid0010901002WV

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 51D0943200

Jefferson Urgent Care · Charles Town, WV
Active · expires Jan 14, 2027
CLIA Number51D0943200
Laboratory TypePhysician Office
Certificate Effective DateJanuary 15, 2025
Certificate Expiration DateJanuary 14, 2027
Laboratory DirectorSean P. Rhoads
Laboratory Phone(304) 728-8533
Laboratory LocationJefferson Urgent Care84 Somerset Boulevard, Charles Town, WV 25414
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
84 SOMERSET BLVD
CHARLES TOWN, WV 25414
Family Medicine
84 SOMERSET BLVD
CHARLES TOWN, WV 25414
Physician Assistant
84 SOMERSET BLVD
CHARLES TOWN, WV 25414
General Practice
84 SOMERSET BLVD
CHARLES TOWN, WV 25414

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 Jefferson Urgent Care, LLC's NPI number?

The NPI number for Jefferson Urgent Care, LLC is 1538230982. It was assigned to this organization in the NPPES registry on November 9, 2006. The provider is also known as Jefferson Urgent Care, LLC (lab).

Where is Jefferson Urgent Care, LLC located?

Jefferson Urgent Care, LLC is located at 84 Somerset Blvd, Charles Town, WV 25414. The listed phone number is (304) 728-8543.

What is Jefferson Urgent Care, LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Jefferson Urgent Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D0943200) is associated with this NPI, valid through January 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jefferson Urgent Care, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.