51D0977629 CLIA NUMBER - ROBERT W EDWARDS III MD INC

Laboratory Demographics

  • CLIA Code: 51D0977629
  • Facility Name: ROBERT W EDWARDS III MD INC
  • Facility Address: 219 UNDERCLIFF TERRACE
    PRINCETON, WV
    ZIP 24740
  • Facility Phone: 304 327-1890
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. ROBERT W. EDWARDS III
  • NPI Number: 1356699920
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 51D0977629
LAB Type Physician Office
Facility Name ROBERT W EDWARDS III MD INC
Street 219 UNDERCLIFF TERRACE
City PRINCETON
State WV
ZIP 24740
Phone 304 327-1890
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 8/31/2024
Certificate Expiration Date 8/30/2026
Facility Type Physician Office
Lab Director DR. ROBERT W. EDWARDS III

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This page was last updated on: 6/4/2025