51D2221886 CLIA NUMBER - WALGREENS #17117

Laboratory Demographics

  • CLIA Code: 51D2221886
  • Facility Name: WALGREENS #17117
  • Facility Address: 1138 HAL GREER BOULEVARD
    HUNTINGTON, WV
    ZIP 25701
  • Facility Phone: 304 523-0167
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROBERT H. ABRAHAMS
  • NPI Number: 1457876112
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D2221886
LAB Type Pharmacy
Facility Name WALGREENS #17117
Street 1138 HAL GREER BOULEVARD
City HUNTINGTON
State WV
ZIP 25701
Phone 304 523-0167
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2025
Certificate Expiration Date 4/25/2027
Facility Type Pharmacy
Lab Director ROBERT H. ABRAHAMS

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