51D1024361 CLIA NUMBER - FRUTH PHARMACY #13

Laboratory Demographics

  • CLIA Code: 51D1024361
  • Facility Name: FRUTH PHARMACY #13
  • Facility Address: 3504 WINFIELD ROAD
    WINFIELD, WV
    ZIP 25213
  • Facility Phone: 304 586-3088
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHARLES D. MASSEY
  • NPI Number: 1164437000
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D1024361
LAB Type Pharmacy
Facility Name FRUTH PHARMACY #13
Street 3504 WINFIELD ROAD
City WINFIELD
State WV
ZIP 25213
Phone 304 586-3088
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

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