49D1035663 CLIA NUMBER - CAMC GREENBRIER VALLEY MEDICAL CENTER UROLOGY

Laboratory Demographics

  • CLIA Code: 49D1035663
  • Facility Name: CAMC GREENBRIER VALLEY MEDICAL CENTER UROLOGY
  • Facility Address: 810 GRAYSON AVE
    COVINGTON, VA
    ZIP 24426
  • Facility Phone: 304 793-4542
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. JOSEPH MOUCHIZADEH
  • NPI Number: 1710537626
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 49D1035663
LAB Type Physician Office
Facility Name CAMC GREENBRIER VALLEY MEDICAL CENTER UROLOGY
Street 810 GRAYSON AVE
City COVINGTON
State VA
ZIP 24426
Phone 304 793-4542
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/7/2025
Certificate Expiration Date 1/6/2027
Facility Type Physician Office
Lab Director DR. JOSEPH MOUCHIZADEH

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This page was last updated on: 9/29/2025