51D2234528 CLIA NUMBER - WALGREENS #18404

Laboratory Demographics

  • CLIA Code: 51D2234528
  • Facility Name: WALGREENS #18404
  • Facility Address: 1250 KANAWHA AVE
    RAINELLE, WV
    ZIP 25962
  • Facility Phone: 304 438-9204
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KAYLA N. MCMILLION
  • NPI Number: 1841716404
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D2234528
LAB Type Pharmacy
Facility Name WALGREENS #18404
Street 1250 KANAWHA AVE
City RAINELLE
State WV
ZIP 25962
Phone 304 438-9204
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2025
Certificate Expiration Date 8/31/2027
Facility Type Pharmacy
Lab Director KAYLA N. MCMILLION

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