51D2234277 CLIA NUMBER - WALGREENS #17113

Laboratory Demographics

  • CLIA Code: 51D2234277
  • Facility Name: WALGREENS #17113
  • Facility Address: 71 WEST MAIN STREET
    BUCKHANNON, WV
    ZIP 26201
  • Facility Phone: 304 472-0150
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DEREK WETSCH
  • NPI Number: 1295259919
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D2234277
LAB Type Pharmacy
Facility Name WALGREENS #17113
Street 71 WEST MAIN STREET
City BUCKHANNON
State WV
ZIP 26201
Phone 304 472-0150
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 DEREK WETSCH

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