51D2234081 CLIA NUMBER - WALGREENS #19990

Laboratory Demographics

  • CLIA Code: 51D2234081
  • Facility Name: WALGREENS #19990
  • Facility Address: 18116 WEBSTER ROAD
    CRAIGSVILLE, WV
    ZIP 26205
  • Facility Phone: 304 742-3072
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMANDA S. CARPENTER
  • NPI Number: 1598281404
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D2234081
LAB Type Pharmacy
Facility Name WALGREENS #19990
Street 18116 WEBSTER ROAD
City CRAIGSVILLE
State WV
ZIP 26205
Phone 304 742-3072
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 AMANDA S. CARPENTER

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