51D0951744 CLIA NUMBER - FOLLANSBEE PHARMACY

Laboratory Demographics

CLIA Number: 51D0951744

Facility Name: FOLLANSBEE PHARMACY

Facility Address:
1415 MAIN STREET
FOLLANSBEE, WV
ZIP 26037
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Facility Phone Number: 304 527-1004

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1790782274

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	51D0951744
LAB Type	Pharmacy
Facility Name	FOLLANSBEE PHARMACY
Street	1415 MAIN STREET
City	FOLLANSBEE
State	WV
ZIP	26037
Phone	304 527-1004
CertificateType	4
CertificateEffectiveDate	5/18/2022
CertificateExpirationDate	5/17/2024
FacilityType	Waiver

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