51D2281598 CLIA NUMBER - UNIVERSITY PHYSICIANS & SURGEONS, INC MARSHALL DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 51D2281598
  • Facility Name: UNIVERSITY PHYSICIANS & SURGEONS, INC MARSHALL DERMATOLOGY
  • Facility Address: 300 CORPORATE DRIVE
    SCOTT DEPOT, WV
    ZIP 25560
  • Facility Phone: 304 691-6829
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SHANE E. COOK

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CLIA Record

Field Name Field Value
CLIA Number 51D2281598
LAB Type Physician Office
Facility Name UNIVERSITY PHYSICIANS & SURGEONS, INC MARSHALL DERMATOLOGY
Street 300 CORPORATE DRIVE
City SCOTT DEPOT
State WV
ZIP 25560
Phone 304 691-6829
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 5/9/2025
Certificate Expiration Date 5/8/2027
Facility Type Physician Office
Lab Director SHANE E. COOK

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