51D1013413 CLIA NUMBER - OTTO ROZA MD PA

Laboratory Demographics

  • CLIA Code: 51D1013413
  • Facility Name: OTTO ROZA MD PA
  • Facility Address: 103 MARCLEY DRIVE
    MARTINSBURG, WV
    ZIP 25401
  • Facility Phone: (304) 263-0911
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ELI J. ROZA MD
  • NPI Number: 1548256811
  • Taxonomy: 207RN0300X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 51D1013413
LAB Type Physician Office
Facility Name OTTO ROZA MD PA
Street 103 MARCLEY DRIVE
City MARTINSBURG
State WV
ZIP 25401
Phone 3042630911
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 6/10/2025
Certificate Expiration Date 6/9/2027
Facility Type Physician Office
Lab Director ELI J. ROZA MD

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: 5/18/2026