51D2185420 CLIA NUMBER - FOUR SEASONS PHARMACY

Laboratory Demographics

  • CLIA Code: 51D2185420
  • Facility Name: FOUR SEASONS PHARMACY
  • Facility Address: 300 MORRISON DRIVE
    PRINCETON, WV
    ZIP 24740
  • Facility Phone: 304 425-7902
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JASON L. PRITCHETT
  • NPI Number: 1750497145
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 51D2185420
LAB Type Pharmacy
Facility Name FOUR SEASONS PHARMACY
Street 300 MORRISON DRIVE
City PRINCETON
State WV
ZIP 24740
Phone 304 425-7902
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2024
Certificate Expiration Date 6/2/2026
Facility Type Pharmacy
Lab Director JASON L. PRITCHETT

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