51D0915392 CLIA NUMBER - MOUNDSVILLE PHARMACY

Laboratory Demographics

  • CLIA Code: 51D0915392
  • Facility Name: MOUNDSVILLE PHARMACY
  • Facility Address: 118 N LAFAYETTE AVENUE
    MOUNDSVILLE, WV
    ZIP 26041
  • Facility Phone: 304 845-0390
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JASON M. TURNER
  • NPI Number: 1790867570
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D0915392
LAB Type Pharmacy
Facility Name MOUNDSVILLE PHARMACY
Street 118 N LAFAYETTE AVENUE
City MOUNDSVILLE
State WV
ZIP 26041
Phone 304 845-0390
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/2024
Certificate Expiration Date 5/27/2026
Facility Type Pharmacy
Lab Director JASON M. TURNER

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This page was last updated on: 9/29/2025