51D2121744 CLIA NUMBER - FRUTH PHARMACY #28

Laboratory Demographics

  • CLIA Code: 51D2121744
  • Facility Name: FRUTH PHARMACY #28
  • Facility Address: 4541 5TH STREET ROAD
    HUNTINGTON, WV
    ZIP 25701
  • Facility Phone: 304 522-6090
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHARLES D. MASSEY
  • NPI Number: 1538611520
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D2121744
LAB Type Pharmacy
Facility Name FRUTH PHARMACY #28
Street 4541 5TH STREET ROAD
City HUNTINGTON
State WV
ZIP 25701
Phone 304 522-6090
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2024
Certificate Expiration Date 11/13/2026
Facility Type Pharmacy
Lab Director CHARLES D. MASSEY

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