51D0686634 CLIA NUMBER - CAMC GREENBRIER PHYSICIANS RONCEVERTE

Laboratory Demographics

  • CLIA Code: 51D0686634
  • Facility Name: CAMC GREENBRIER PHYSICIANS RONCEVERTE
  • Facility Address: 1322 MAPLEWOOD AVENUE
    RONCEVERTE, WV
    ZIP 24970
  • Facility Phone: 304 388-9043
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KRISTY RAMBO
  • NPI Number: 1417153172
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 51D0686634
LAB Type Physician Office
Facility Name CAMC GREENBRIER PHYSICIANS RONCEVERTE
Street 1322 MAPLEWOOD AVENUE
City RONCEVERTE
State WV
ZIP 24970
Phone 304 388-9043
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2025
Certificate Expiration Date 12/31/2026
Facility Type Physician Office
Lab Director KRISTY RAMBO

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