Healther Providers Data Logo

51D1005634 CLIA NUMBER - FRUTH PHARMACY 14

Laboratory Demographics

CLIA Number: 51D1005634

Facility Name: FRUTH PHARMACY 14

Facility Address:
864 OAKWOOD ROAD
CHARLESTON, WV
ZIP 25314
Get Directions

Facility Phone Number: 304 343-2807

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1073528915

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 51D1005634
LAB Type Pharmacy
Facility Name FRUTH PHARMACY 14
Street 864 OAKWOOD ROAD
City CHARLESTON
State WV
ZIP 25314
Phone 304 343-2807
CertificateType 4
CertificateEffectiveDate 10/28/2022
CertificateExpirationDate 10/27/2024
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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