51D2092989 CLIA NUMBER - WVU HOSPITALS UNIVERSITY TOWN CTR

Laboratory Demographics

  • CLIA Code: 51D2092989
  • Facility Name: WVU HOSPITALS UNIVERSITY TOWN CTR
  • Facility Address: 6040 UNIVERSITY TOWN CENTRE DRIVE
    MORGANTOWN, WV
    ZIP 26501
  • Facility Phone: 304 285-7222
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. RYAN DEMKOWICZ
  • NPI Number: 1225427248
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 51D2092989
LAB Type Physician Office
Facility Name WVU HOSPITALS UNIVERSITY TOWN CTR
Street 6040 UNIVERSITY TOWN CENTRE DRIVE
City MORGANTOWN
State WV
ZIP 26501
Phone 304 285-7222
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 3/18/2025
Certificate Expiration Date 3/17/2027
Facility Type Physician Office
Lab Director DR. RYAN DEMKOWICZ

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