51D0997055 CLIA NUMBER - MIDTOWNE FAMILY PRACTICE PLLC

Laboratory Demographics

  • CLIA Code: 51D0997055
  • Facility Name: MIDTOWNE FAMILY PRACTICE PLLC
  • Facility Address: 403 12TH ST EXT
    PRINCETON, WV
    ZIP 24740
  • Facility Phone: 304 431-7100
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. PAMELA P. FAULKNER
  • NPI Number: 1154436004
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 51D0997055
LAB Type Physician Office
Facility Name MIDTOWNE FAMILY PRACTICE PLLC
Street 403 12TH ST EXT
City PRINCETON
State WV
ZIP 24740
Phone 304 431-7100
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 3/5/2024
Certificate Expiration Date 3/4/2026
Facility Type Physician Office
Lab Director DR. PAMELA P. FAULKNER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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