51D1039777 CLIA NUMBER - MEDICAP PHARMACY 317

Laboratory Demographics

  • CLIA Code: 51D1039777
  • Facility Name: MEDICAP PHARMACY 317
  • Facility Address: 4352 FIFTH STREET ROAD
    HUNTINGTON, WV
    ZIP 25701
  • Facility Phone: 304 523-5003
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PETER A. THOMAS
  • NPI Number: 1467546770
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D1039777
LAB Type Pharmacy
Facility Name MEDICAP PHARMACY 317
Street 4352 FIFTH STREET ROAD
City HUNTINGTON
State WV
ZIP 25701
Phone 304 523-5003
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2025
Certificate Expiration Date 4/21/2027
Facility Type Pharmacy
Lab Director PETER A. THOMAS

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