51D2102011 CLIA NUMBER - ANDERSON OBSTETRICS AND GYNECOLOGY PLLC

Laboratory Demographics

  • CLIA Code: 51D2102011
  • Facility Name: ANDERSON OBSTETRICS AND GYNECOLOGY PLLC
  • Facility Address: 94 OLD MILL ROAD
    MARTINSBURG, WV
    ZIP 25401
  • Facility Phone: 681 260-2016
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: STACEY A. ANDERSON MD
  • NPI Number: 1265818694
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 51D2102011
LAB Type Physician Office
Facility Name ANDERSON OBSTETRICS AND GYNECOLOGY PLLC
Street 94 OLD MILL ROAD
City MARTINSBURG
State WV
ZIP 25401
Phone 681 260-2016
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 9/15/2023
Certificate Expiration Date 9/14/2025
Facility Type Physician Office
Lab Director STACEY A. ANDERSON MD

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This page was last updated on: 3/20/2025