51D1063492 CLIA NUMBER - JMC WOMEN'S HEALTH & FAMILY MEDICINE - RANSON

Laboratory Demographics

  • CLIA Code: 51D1063492
  • Facility Name: JMC WOMEN'S HEALTH & FAMILY MEDICINE - RANSON
  • Facility Address: 203 EAST FOURTH AVENUE
    RANSON, WV
    ZIP 25438
  • Facility Phone: 304 725-6343
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: GRETCHEN D E. SPROUSE MD
  • NPI Number: 1801145768
  • Taxonomy: 207XX0005X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 51D1063492
LAB Type Physician Office
Facility Name JMC WOMEN'S HEALTH & FAMILY MEDICINE - RANSON
Street 203 EAST FOURTH AVENUE
City RANSON
State WV
ZIP 25438
Phone 304 725-6343
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 1/16/2025
Certificate Expiration Date 1/15/2027
Facility Type Physician Office
Lab Director GRETCHEN D E. SPROUSE MD

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This page was last updated on: 6/4/2025