51D2233991 CLIA NUMBER - WALGREENS #19666

Laboratory Demographics

  • CLIA Code: 51D2233991
  • Facility Name: WALGREENS #19666
  • Facility Address: 415 EAST MAIN STREET
    KINGWOOD, WV
    ZIP 26537
  • Facility Phone: 304 329-2212
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHARLES T. DOUGLAS
  • NPI Number: 1720504145
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D2233991
LAB Type Pharmacy
Facility Name WALGREENS #19666
Street 415 EAST MAIN STREET
City KINGWOOD
State WV
ZIP 26537
Phone 304 329-2212
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2025
Certificate Expiration Date 8/26/2027
Facility Type Pharmacy
Lab Director CHARLES T. DOUGLAS

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