49D0693936 CLIA NUMBER - CARLOTTA R EVANS MD

Laboratory Demographics

CLIA Number: 49D0693936

Facility Name: CARLOTTA R EVANS MD

Facility Address:
4089 WEBSTER ROAD SUITE 5
SUMMERSVILLE, WV
ZIP 26651
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Facility Phone Number: 304 872-2450

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1396822599

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	49D0693936
LAB Type	Physician Office
Facility Name	CARLOTTA R EVANS MD
Street	4089 WEBSTER ROAD SUITE 5
City	SUMMERSVILLE
State	WV
ZIP	26651
Phone	304 872-2450
CertificateType	3
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024