51D0886610 CLIA NUMBER - CAMC NEPHROLOGY

Laboratory Demographics

  • CLIA Code: 51D0886610
  • Facility Name: CAMC NEPHROLOGY
  • Facility Address: 2345 CHESTERFIELD AVENUE SUITE 301
    CHARLESTON, WV
    ZIP 25304
  • Facility Phone: 304 388-9043
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. ASIF RAHMAN
  • NPI Number: 1770682395
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 51D0886610
LAB Type Physician Office
Facility Name CAMC NEPHROLOGY
Street 2345 CHESTERFIELD AVENUE SUITE 301
City CHARLESTON
State WV
ZIP 25304
Phone 304 388-9043
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 5/24/2024
Certificate Expiration Date 5/23/2026
Facility Type Physician Office
Lab Director DR. ASIF RAHMAN

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