51D2218910 CLIA NUMBER - WALGREENS #12277

Laboratory Demographics

  • CLIA Code: 51D2218910
  • Facility Name: WALGREENS #12277
  • Facility Address: 38 VICTORY AVE
    GRAFTON, WV
    ZIP 26354
  • Facility Phone: 304 265-0926
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KAYLA LEDSOME
  • NPI Number: 1124253786
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D2218910
LAB Type Pharmacy
Facility Name WALGREENS #12277
Street 38 VICTORY AVE
City GRAFTON
State WV
ZIP 26354
Phone 304 265-0926
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2025
Certificate Expiration Date 3/30/2027
Facility Type Pharmacy
Lab Director KAYLA LEDSOME

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