51D2090446 CLIA NUMBER - FRUTH PHARMACY #02

Laboratory Demographics

  • CLIA Code: 51D2090446
  • Facility Name: FRUTH PHARMACY #02
  • Facility Address: 125 SEVENTH AVENUE
    HUNTINGTON, WV
    ZIP 25701
  • Facility Phone: 304 697-2151
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHARLES D. MASSEY
  • NPI Number: 1982786760
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D2090446
LAB Type Pharmacy
Facility Name FRUTH PHARMACY #02
Street 125 SEVENTH AVENUE
City HUNTINGTON
State WV
ZIP 25701
Phone 304 697-2151
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