51D0233762 CLIA NUMBER - CAMC GREENBRIER VALLEY MEDICAL CENTER UROLOGY

Laboratory Demographics

  • CLIA Code: 51D0233762
  • Facility Name: CAMC GREENBRIER VALLEY MEDICAL CENTER UROLOGY
  • Facility Address: 1521 MAPLEWOOD AVENUE
    RONCEVERTE, WV
    ZIP 24970
  • Facility Phone: 304 793-4542
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: THOMAS KOWALKOWSKI
  • NPI Number: 1447410923
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 51D0233762
LAB Type Physician Office
Facility Name CAMC GREENBRIER VALLEY MEDICAL CENTER UROLOGY
Street 1521 MAPLEWOOD AVENUE
City RONCEVERTE
State WV
ZIP 24970
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 10/6/2025
Certificate Expiration Date 10/5/2027
Facility Type Physician Office
Lab Director THOMAS KOWALKOWSKI

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