51D1051258 CLIA NUMBER - SUSAN C CAPELLE MD PLLC

Laboratory Demographics

  • CLIA Code: 51D1051258
  • Facility Name: SUSAN C CAPELLE MD PLLC
  • Facility Address: 3496 UNIVERSITY AVENUE
    MORGANTOWN, WV
    ZIP 26505
  • Facility Phone: 304 599-7075
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SUSAN C. CAPELLE MD
  • NPI Number: 1275584872
  • Taxonomy: 2088F0040X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 51D1051258
LAB Type Physician Office
Facility Name SUSAN C CAPELLE MD PLLC
Street 3496 UNIVERSITY AVENUE
City MORGANTOWN
State WV
ZIP 26505
Phone 304 599-7075
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 1/31/2025
Certificate Expiration Date 1/30/2027
Facility Type Physician Office
Lab Director SUSAN C. CAPELLE MD

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