51D2024077 CLIA NUMBER - SHEPHERDSTOWN PHARMACY SHPH LLC

Laboratory Demographics

  • CLIA Code: 51D2024077
  • Facility Name: SHEPHERDSTOWN PHARMACY SHPH LLC
  • Facility Address: 7670 MARTINSBURG PIKE SUITE 2
    SHEPHERDSTOWN, WV
    ZIP 25443
  • Facility Phone: 304 876-9966
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTINE R. KNOTT
  • NPI Number: 1033417530
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D2024077
LAB Type Pharmacy
Facility Name SHEPHERDSTOWN PHARMACY SHPH LLC
Street 7670 MARTINSBURG PIKE SUITE 2
City SHEPHERDSTOWN
State WV
ZIP 25443
Phone 304 876-9966
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/9/2025
Certificate Expiration Date 5/8/2027
Facility Type Pharmacy
Lab Director KRISTINE R. KNOTT

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