51D2022340 CLIA NUMBER - WALGREENS # 11977

Laboratory Demographics

  • CLIA Code: 51D2022340
  • Facility Name: WALGREENS # 11977
  • Facility Address: 6414 US 60 EAST
    BARBOURSVILLE, WV
    ZIP 25504
  • Facility Phone: 304 736-0528
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CLAYTON A. LIGHTNER
  • NPI Number: 1285964569
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D2022340
LAB Type Pharmacy
Facility Name WALGREENS # 11977
Street 6414 US 60 EAST
City BARBOURSVILLE
State WV
ZIP 25504
Phone 304 736-0528
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2025
Certificate Expiration Date 4/6/2027
Facility Type Pharmacy
Lab Director CLAYTON A. LIGHTNER

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