51D1005636 CLIA NUMBER - FRUTH PHARMACY 10

Laboratory Demographics

  • CLIA Code: 51D1005636
  • Facility Name: FRUTH PHARMACY 10
  • Facility Address: 3109 TEAYS VALLEY ROAD
    HURRICANE, WV
    ZIP 25526
  • Facility Phone: 304 562-2677
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHARLES D. MASSEY
  • NPI Number: 1437164373
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D1005636
LAB Type Pharmacy
Facility Name FRUTH PHARMACY 10
Street 3109 TEAYS VALLEY ROAD
City HURRICANE
State WV
ZIP 25526
Phone 304 562-2677
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2024
Certificate Expiration Date 10/27/2026
Facility Type Pharmacy
Lab Director CHARLES D. MASSEY

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