51D1064205 CLIA NUMBER - PLANNED PARENTHOOD SOUTH ATLANTIC -VIENNA

Laboratory Demographics

  • CLIA Code: 51D1064205
  • Facility Name: PLANNED PARENTHOOD SOUTH ATLANTIC -VIENNA
  • Facility Address: 522 GRAND CENTRAL AVENUE
    VIENNA, WV
    ZIP 26105
  • Facility Phone: (304) 295-3311
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ANNE L. BASS
  • NPI Number: 1801932199
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 51D1064205
LAB Type Physician Office
Facility Name PLANNED PARENTHOOD SOUTH ATLANTIC -VIENNA
Street 522 GRAND CENTRAL AVENUE
City VIENNA
State WV
ZIP 26105
Phone 3042953311
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 1/7/2026
Certificate Expiration Date 1/6/2028
Facility Type Physician Office
Lab Director ANNE L. BASS

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This page was last updated on: 5/18/2026