51D1058667 CLIA NUMBER - AMY A VAUGHAN MD DERMATOLOGY PLLC

Laboratory Demographics

  • CLIA Code: 51D1058667
  • Facility Name: AMY A VAUGHAN MD DERMATOLOGY PLLC
  • Facility Address: 6007 US ROUTE 60 EAST SUITE 130
    BARBOURSVILLE, WV
    ZIP 25504
  • Facility Phone: 304 733-3333
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: AMY A. VAUGHAN MD
  • NPI Number: 1073503223
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 51D1058667
LAB Type Physician Office
Facility Name AMY A VAUGHAN MD DERMATOLOGY PLLC
Street 6007 US ROUTE 60 EAST SUITE 130
City BARBOURSVILLE
State WV
ZIP 25504
Phone 304 733-3333
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 6/25/2024
Certificate Expiration Date 6/24/2026
Facility Type Physician Office
Lab Director AMY A. VAUGHAN MD

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