51D2015566 CLIA NUMBER - WALGREENS 11677

Laboratory Demographics

  • CLIA Code: 51D2015566
  • Facility Name: WALGREENS 11677
  • Facility Address: 101 FORBES DRIVE
    MARTINSBURG, WV
    ZIP 25404
  • Facility Phone: 304 262-4697
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMES P. NOLL
  • NPI Number: 1861652562
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D2015566
LAB Type Pharmacy
Facility Name WALGREENS 11677
Street 101 FORBES DRIVE
City MARTINSBURG
State WV
ZIP 25404
Phone 304 262-4697
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Pharmacy
Lab Director JAMES P. NOLL

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