51D2234269 CLIA NUMBER - WALGREENS #18275

Laboratory Demographics

  • CLIA Code: 51D2234269
  • Facility Name: WALGREENS #18275
  • Facility Address: 28 MAIN AVENUE
    LOGAN, WV
    ZIP 25601
  • Facility Phone: 304 752-2910
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WILLIAM J. FRYER
  • NPI Number: 1659897205
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D2234269
LAB Type Pharmacy
Facility Name WALGREENS #18275
Street 28 MAIN AVENUE
City LOGAN
State WV
ZIP 25601
Phone 304 752-2910
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 WILLIAM J. FRYER

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