51D1021169 CLIA NUMBER - FRITZ'S PHARMACY

Laboratory Demographics

CLIA Number: 51D1021169

Facility Name: FRITZ'S PHARMACY

Facility Address:
8706 SENECA TRAIL S
RONCEVERTE, WV
ZIP 24970
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Facility Phone Number: 304 645-1890

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1114359783

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	51D1021169
LAB Type	Pharmacy
Facility Name	FRITZ'S PHARMACY
Street	8706 SENECA TRAIL S
City	RONCEVERTE
State	WV
ZIP	24970
Phone	304 645-1890
CertificateType	4
CertificateEffectiveDate	1/14/2024
CertificateExpirationDate	1/13/2026
FacilityType	Waiver

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