51D2125441 CLIA NUMBER - MARTINS PHARMACY #6102

Laboratory Demographics

  • CLIA Code: 51D2125441
  • Facility Name: MARTINS PHARMACY #6102
  • Facility Address: 190 FLOWING SPRINGS ROAD
    CHARLES TOWN, WV
    ZIP 25414
  • Facility Phone: 304 728-8705
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. TIMOTHY KAYLOR
  • NPI Number: 1306878327
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D2125441
LAB Type Pharmacy
Facility Name MARTINS PHARMACY #6102
Street 190 FLOWING SPRINGS ROAD
City CHARLES TOWN
State WV
ZIP 25414
Phone 304 728-8705
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2025
Certificate Expiration Date 2/6/2027
Facility Type Pharmacy
Lab Director MR. TIMOTHY KAYLOR

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