51D2249503 CLIA NUMBER - SISTERSVILLE PHARMACY

Laboratory Demographics

  • CLIA Code: 51D2249503
  • Facility Name: SISTERSVILLE PHARMACY
  • Facility Address: 312 DIAMOND STREET
    SISTERSVILLE, WV
    ZIP 26175
  • Facility Phone: 304 652-3711
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JASON M. TURNER
  • NPI Number: 1104233329
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D2249503
LAB Type Pharmacy
Facility Name SISTERSVILLE PHARMACY
Street 312 DIAMOND STREET
City SISTERSVILLE
State WV
ZIP 26175
Phone 304 652-3711
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/20/2024
Certificate Expiration Date 1/19/2026
Facility Type Pharmacy
Lab Director JASON M. TURNER

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