51D0859020 CLIA NUMBER - JAMES W ENDICOTT MD

Laboratory Demographics

  • CLIA Code: 51D0859020
  • Facility Name: JAMES W ENDICOTT MD
  • Facility Address: 108 MINGO STREET
    KERMIT, WV
    ZIP 25674
  • Facility Phone: 304 393-4303
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JAMES W. ENDICOTT
  • NPI Number: 1790782753
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 51D0859020
LAB Type Physician Office
Facility Name JAMES W ENDICOTT MD
Street 108 MINGO STREET
City KERMIT
State WV
ZIP 25674
Phone 304 393-4303
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 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director JAMES W. ENDICOTT

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