51D1018379 CLIA NUMBER - TRI STATE SURGICAL CENTER

Laboratory Demographics

  • CLIA Code: 51D1018379
  • Facility Name: TRI STATE SURGICAL CENTER
  • Facility Address: 1006 TAVERN ROAD
    MARTINSBURG, WV
    ZIP 25401
  • Facility Phone: 304 263-5129
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: TROY D. FOSTER DO
  • NPI Number: 1053939074
  • Taxonomy: 207L00000X - Anesthesiology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 51D1018379
LAB Type Ambulatory Surgery Center
Facility Name TRI STATE SURGICAL CENTER
Street 1006 TAVERN ROAD
City MARTINSBURG
State WV
ZIP 25401
Phone 304 263-5129
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2025
Certificate Expiration Date 10/20/2027
Facility Type Ambulatory Surgery Center
Lab Director TROY D. FOSTER DO

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