51D0961224 CLIA NUMBER - GARY S DEGUZMAN MD

Laboratory Demographics

  • CLIA Code: 51D0961224
  • Facility Name: GARY S DEGUZMAN MD
  • Facility Address: 40 MEDICAL TOWER 4 SUITE 202
    WHEELING, WV
    ZIP 26003
  • Facility Phone: 304 232-1817
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. GARY S. DEGUZMAN
  • NPI Number: 1801807755
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 51D0961224
LAB Type Physician Office
Facility Name GARY S DEGUZMAN MD
Street 40 MEDICAL TOWER 4 SUITE 202
City WHEELING
State WV
ZIP 26003
Phone 304 232-1817
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 1/4/2024
Certificate Expiration Date 1/3/2026
Facility Type Physician Office
Lab Director DR. GARY S. DEGUZMAN

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