51D2036239 CLIA NUMBER - WALGREENS # 11978

Laboratory Demographics

  • CLIA Code: 51D2036239
  • Facility Name: WALGREENS # 11978
  • Facility Address: 2933 ROBERT C BYRD DRIVE
    BECKLEY, WV
    ZIP 25801
  • Facility Phone: 304 252-0531
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TESSA CAVINS
  • NPI Number: 1255589503
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D2036239
LAB Type Pharmacy
Facility Name WALGREENS # 11978
Street 2933 ROBERT C BYRD DRIVE
City BECKLEY
State WV
ZIP 25801
Phone 304 252-0531
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/2/2025
Certificate Expiration Date 4/1/2027
Facility Type Pharmacy
Lab Director TESSA CAVINS

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