51D1096083 CLIA NUMBER - WHITE HALL PHARMACY LLC

Laboratory Demographics

  • CLIA Code: 51D1096083
  • Facility Name: WHITE HALL PHARMACY LLC
  • Facility Address: 177 MIDDLETOWN ROAD SUITE 2
    WHITEHALL, WV
    ZIP 26554
  • Facility Phone: 304 368-9355
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TERRI VILAIN
  • NPI Number: 1508477332
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D1096083
LAB Type Pharmacy
Facility Name WHITE HALL PHARMACY LLC
Street 177 MIDDLETOWN ROAD SUITE 2
City WHITEHALL
State WV
ZIP 26554
Phone 304 368-9355
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/25/2025
Certificate Expiration Date 2/24/2027
Facility Type Pharmacy
Lab Director TERRI VILAIN

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