51D1044144 CLIA NUMBER - FRUTH PHARMACY #19

Laboratory Demographics

  • CLIA Code: 51D1044144
  • Facility Name: FRUTH PHARMACY #19
  • Facility Address: 509 SOUTH CHURCH STREET
    RIPLEY, WV
    ZIP 25271
  • Facility Phone: (304) 372-1605
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHARLES D. MASSEY
  • NPI Number: 1609881549
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D1044144
LAB Type Pharmacy
Facility Name FRUTH PHARMACY #19
Street 509 SOUTH CHURCH STREET
City RIPLEY
State WV
ZIP 25271
Phone 3043721605
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2025
Certificate Expiration Date 8/10/2027
Facility Type Pharmacy
Lab Director CHARLES D. MASSEY

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This page was last updated on: 5/18/2026