51D2049825 CLIA NUMBER - MARK W NOLAN MD

Laboratory Demographics

  • CLIA Code: 51D2049825
  • Facility Name: MARK W NOLAN MD
  • Facility Address: 809 WILLOW LANE
    POINT PLEASANT, WV
    ZIP 25550
  • Facility Phone: 304 675-1222
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. MARK W. NOLAN
  • NPI Number: 1508966037
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 51D2049825
LAB Type Physician Office
Facility Name MARK W NOLAN MD
Street 809 WILLOW LANE
City POINT PLEASANT
State WV
ZIP 25550
Phone 304 675-1222
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 11/15/2024
Certificate Expiration Date 11/14/2026
Facility Type Physician Office
Lab Director DR. MARK W. NOLAN

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