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51D2258136 CLIA NUMBER - CAMC GREENBRIER VALLEY MEDICAL CENTER UROLOGY

Laboratory Demographics

CLIA Number: 51D2258136

Facility Name: CAMC GREENBRIER VALLEY MEDICAL CENTER UROLOGY

Facility Address:
55 FRIENDS R FUN DRIVE
SUMMERSVILLE, WV
ZIP 26651
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Facility Phone Number: 304 793-4542

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1518167659

Taxonomy: 251300000X - Local Education Agency (LEA)
The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy.

CLIA Record

Field Name Field Value
CLIA Number 51D2258136
LAB Type Physician Office
Facility Name CAMC GREENBRIER VALLEY MEDICAL CENTER UROLOGY
Street 55 FRIENDS R FUN DRIVE
City SUMMERSVILLE
State WV
ZIP 26651
Phone 304 793-4542
CertificateType 3
CertificateEffectiveDate 1/1/2023
CertificateExpirationDate 12/31/2024
FacilityType PPMP

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