51D2314427 CLIA NUMBER - WVU MEDICINE SPINE MEDICINE CENTER

Laboratory Demographics

  • CLIA Code: 51D2314427
  • Facility Name: WVU MEDICINE SPINE MEDICINE CENTER
  • Facility Address: 943 MAPLE DRIVE, LOWER LEVEL
    MORGANTOWN, WV
    ZIP 26505
  • Facility Phone: 304 598-4113
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RYAN D. DEMKOWICZ
  • NPI Number: 1962605931
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 51D2314427
LAB Type Physician Office
Facility Name WVU MEDICINE SPINE MEDICINE CENTER
Street 943 MAPLE DRIVE, LOWER LEVEL
City MORGANTOWN
State WV
ZIP 26505
Phone 304 598-4113
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2024
Certificate Expiration Date 11/19/2026
Facility Type Physician Office
Lab Director RYAN D. DEMKOWICZ

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