51D1024359 CLIA NUMBER - FRUTH PHARMACY #7

Laboratory Demographics

  • CLIA Code: 51D1024359
  • Facility Name: FRUTH PHARMACY #7
  • Facility Address: 106 21ST STREET
    NITRO, WV
    ZIP 25143
  • Facility Phone: 304 755-0128
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHARLES D. MASSEY
  • NPI Number: 1528073467
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 51D1024359
LAB Type Pharmacy
Facility Name FRUTH PHARMACY #7
Street 106 21ST STREET
City NITRO
State WV
ZIP 25143
Phone 304 755-0128
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2024
Certificate Expiration Date 4/7/2026
Facility Type Pharmacy
Lab Director CHARLES D. MASSEY

Download Record

Download this CLIA record record in Text format: Export

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

Download this CLIA record record in XML format: Export

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