51D2234084 CLIA NUMBER - WALGREENS #17534

Laboratory Demographics

  • CLIA Code: 51D2234084
  • Facility Name: WALGREENS #17534
  • Facility Address: 5798 MCCLELLAN HIGHWAY
    BRANCHLAND, WV
    ZIP 25506
  • Facility Phone: 304 824-7077
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KATHERINE RHODES
  • NPI Number: 1164948972
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D2234084
LAB Type Pharmacy
Facility Name WALGREENS #17534
Street 5798 MCCLELLAN HIGHWAY
City BRANCHLAND
State WV
ZIP 25506
Phone 304 824-7077
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 KATHERINE RHODES

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