51D0688870 CLIA NUMBER - WEST VIRGINIA CHILDRENS HEALTH PROJECT

Laboratory Demographics

CLIA Number: 51D0688870

Facility Name: WEST VIRGINIA CHILDRENS HEALTH PROJECT

Facility Address:
1600 MEDICAL CENTER DRIVE SUITE 3500
HUNTINGTON, WV
ZIP 25701
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Facility Phone Number: 304 526-2543

Facility Type: Mobile Laboratory

Certificate Type: Waiver

NPI Number: 1144323809

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	51D0688870
LAB Type	Mobile Laboratory
Facility Name	WEST VIRGINIA CHILDRENS HEALTH PROJECT
Street	1600 MEDICAL CENTER DRIVE SUITE 3500
City	HUNTINGTON
State	WV
ZIP	25701
Phone	304 526-2543
CertificateType	4
CertificateEffectiveDate	7/25/2022
CertificateExpirationDate	7/24/2024
FacilityType	Waiver

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