51D2196176 CLIA NUMBER - SMPH LLC DBA SPRING MILLS PHARMACY

Laboratory Demographics

  • CLIA Code: 51D2196176
  • Facility Name: SMPH LLC DBA SPRING MILLS PHARMACY
  • Facility Address: 5759 WILLIAMSPORT PIKE SUITE 105
    FALLING WATERS, WV
    ZIP 25419
  • Facility Phone: 304 676-9878
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: KRISTINE R. KNOTT
  • NPI Number: 1336754647
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D2196176
LAB Type Ancillary Testing Site in Health Care Center
Facility Name SMPH LLC DBA SPRING MILLS PHARMACY
Street 5759 WILLIAMSPORT PIKE SUITE 105
City FALLING WATERS
State WV
ZIP 25419
Phone 304 676-9878
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2024
Certificate Expiration Date 10/14/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director KRISTINE R. KNOTT

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