51D2234089 CLIA NUMBER - WALGREENS #17426

Laboratory Demographics

CLIA Number: 51D2234089

Facility Name: WALGREENS #17426

Facility Address:
1201 MAIN STREET EAST
OAK HILL, WV
ZIP 25901
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Facility Phone Number: 304 465-5658

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1457877219

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	51D2234089
LAB Type	Pharmacy
Facility Name	WALGREENS #17426
Street	1201 MAIN STREET EAST
City	OAK HILL
State	WV
ZIP	25901
Phone	304 465-5658
CertificateType	4
CertificateEffectiveDate	8/27/2023
CertificateExpirationDate	8/26/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024