51D2036237 CLIA NUMBER - WALGREENS #10928

Laboratory Demographics

  • CLIA Code: 51D2036237
  • Facility Name: WALGREENS #10928
  • Facility Address: 886 RITTER DRIVE
    BEAVER, WV
    ZIP 25813
  • Facility Phone: 304 256-0412
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MELISSA C. NEELY
  • NPI Number: 1508051996
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D2036237
LAB Type Pharmacy
Facility Name WALGREENS #10928
Street 886 RITTER DRIVE
City BEAVER
State WV
ZIP 25813
Phone 304 256-0412
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2025
Certificate Expiration Date 4/29/2027
Facility Type Pharmacy
Lab Director MELISSA C. NEELY

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