51D2145633 CLIA NUMBER - BMC SURGERY - SPRING MILLS

Laboratory Demographics

CLIA Number: 51D2145633

Facility Name: BMC SURGERY - SPRING MILLS

Facility Address:
61 CAMPUS DRIVE, SUITE 2000
MARTINSBURG, WV
ZIP 25404
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Facility Phone Number: 304 264-8603

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1043727787

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	51D2145633
LAB Type	Physician Office
Facility Name	BMC SURGERY - SPRING MILLS
Street	61 CAMPUS DRIVE, SUITE 2000
City	MARTINSBURG
State	WV
ZIP	25404
Phone	304 264-8603
CertificateType	4
CertificateEffectiveDate	6/10/2023
CertificateExpirationDate	6/9/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024