51D2241662 CLIA NUMBER - NHP RX LLC DBA BLACK BEAR PHARMACY

Laboratory Demographics

  • CLIA Code: 51D2241662
  • Facility Name: NHP RX LLC DBA BLACK BEAR PHARMACY
  • Facility Address: 1101 W NEVILLE ST
    BECKLEY, WV
    ZIP 25801
  • Facility Phone: 681 254-4350
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARK A. DZARA
  • NPI Number: 1871262741
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D2241662
LAB Type Pharmacy
Facility Name NHP RX LLC DBA BLACK BEAR PHARMACY
Street 1101 W NEVILLE ST
City BECKLEY
State WV
ZIP 25801
Phone 681 254-4350
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2023
Certificate Expiration Date 10/31/2025
Facility Type Pharmacy
Lab Director MARK A. DZARA

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