51D2090430 CLIA NUMBER - FRUTH PHARMACY #18

Laboratory Demographics

  • CLIA Code: 51D2090430
  • Facility Name: FRUTH PHARMACY #18
  • Facility Address: 211 BOWMAN STREET
    SPENCER, WV
    ZIP 25276
  • Facility Phone: 304 927-0011
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHARLES D. MASSEY
  • NPI Number: 1790790632
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D2090430
LAB Type Pharmacy
Facility Name FRUTH PHARMACY #18
Street 211 BOWMAN STREET
City SPENCER
State WV
ZIP 25276
Phone 304 927-0011
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2025
Certificate Expiration Date 1/22/2027
Facility Type Pharmacy
Lab Director CHARLES D. MASSEY

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