51D2299723 CLIA NUMBER - MOUNT GAY PHARMACY

Laboratory Demographics

  • CLIA Code: 51D2299723
  • Facility Name: MOUNT GAY PHARMACY
  • Facility Address: 360 MOUNT GAY ROAD
    MOUNT GAY, WV
    ZIP 25637
  • Facility Phone: 304 896-0015
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TERRI DOSS
  • NPI Number: 1659143212
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D2299723
LAB Type Pharmacy
Facility Name MOUNT GAY PHARMACY
Street 360 MOUNT GAY ROAD
City MOUNT GAY
State WV
ZIP 25637
Phone 304 896-0015
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2024
Certificate Expiration Date 2/25/2026
Facility Type Pharmacy
Lab Director TERRI DOSS

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