51D2190393 CLIA NUMBER - WEST VIRGINIA UNIVERSITY DENTAL CORPORATION DBA UNIVERSITY HEALTH ASSOCIATES

Laboratory Demographics

CLIA Number: 51D2190393

Facility Name: WEST VIRGINIA UNIVERSITY DENTAL CORPORATION DBA UNIVERSITY HEALTH ASSOCIATES

Facility Address:
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV
ZIP 26506
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Facility Phone Number: 304 293-1656

Facility Type: Other - ACADEMIC HEALTHCARE

Certificate Type: Waiver

NPI Number: 1801283874

Taxonomy: 1223P0106X - Dentist
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.

CLIA Record

Field Name Field Value
CLIA Number 51D2190393
LAB Type Other - ACADEMIC HEALTHCARE
Facility Name WEST VIRGINIA UNIVERSITY DENTAL CORPORATION DBA UNIVERSITY HEALTH ASSOCIATES
Street 1 MEDICAL CENTER DRIVE
City MORGANTOWN
State WV
ZIP 26506
Phone 304 293-1656
CertificateType 4
CertificateEffectiveDate 8/13/2022
CertificateExpirationDate 8/12/2024
FacilityType Waiver

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