51D2234242 CLIA NUMBER - WALGREENS #19743

Laboratory Demographics

  • CLIA Code: 51D2234242
  • Facility Name: WALGREENS #19743
  • Facility Address: 1600 MAIN STREET
    FOLLANSBEE, WV
    ZIP 26037
  • Facility Phone: 304 527-4082
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL S. MASTRANTONI
  • NPI Number: 1780100123
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D2234242
LAB Type Pharmacy
Facility Name WALGREENS #19743
Street 1600 MAIN STREET
City FOLLANSBEE
State WV
ZIP 26037
Phone 304 527-4082
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/30/2025
Certificate Expiration Date 8/29/2027
Facility Type Pharmacy
Lab Director MICHAEL S. MASTRANTONI

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