51D2234531 CLIA NUMBER - WALGREENS #19676

Laboratory Demographics

  • CLIA Code: 51D2234531
  • Facility Name: WALGREENS #19676
  • Facility Address: 1360 COVE RD
    WEIRTON, WV
    ZIP 26062
  • Facility Phone: 304 723-2110
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JULIANNA J. WIEDAMAN
  • NPI Number: 1417473844
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D2234531
LAB Type Pharmacy
Facility Name WALGREENS #19676
Street 1360 COVE RD
City WEIRTON
State WV
ZIP 26062
Phone 304 723-2110
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 JULIANNA J. WIEDAMAN

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