51D2043746 CLIA NUMBER - WALGREENS # 12678

Laboratory Demographics

  • CLIA Code: 51D2043746
  • Facility Name: WALGREENS # 12678
  • Facility Address: 3000 TEAYS VALLEY ROAD
    HURRICANE, WV
    ZIP 25526
  • Facility Phone: 304 562-1830
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HOLLY M. POE
  • NPI Number: 1124257613
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D2043746
LAB Type Pharmacy
Facility Name WALGREENS # 12678
Street 3000 TEAYS VALLEY ROAD
City HURRICANE
State WV
ZIP 25526
Phone 304 562-1830
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2025
Certificate Expiration Date 4/5/2027
Facility Type Pharmacy
Lab Director HOLLY M. POE

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