51D0908973 CLIA NUMBER - ROANE COUNTY EMERGENCY SQUAD

Laboratory Demographics

  • CLIA Code: 51D0908973
  • Facility Name: ROANE COUNTY EMERGENCY SQUAD
  • Facility Address: 200 EAST MAIN STREET
    SPENCER, WV
    ZIP 25276
  • Facility Phone: 304 927-3725
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MAKIAH A. RATLIFF
  • NPI Number: 1093860256
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 51D0908973
LAB Type Ambulance
Facility Name ROANE COUNTY EMERGENCY SQUAD
Street 200 EAST MAIN STREET
City SPENCER
State WV
ZIP 25276
Phone 304 927-3725
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2025
Certificate Expiration Date 2/7/2027
Facility Type Ambulance
Lab Director MAKIAH A. RATLIFF

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