51D2234603 CLIA NUMBER - WALGREENS #17280

Laboratory Demographics

  • CLIA Code: 51D2234603
  • Facility Name: WALGREENS #17280
  • Facility Address: 406 WASHINGTON STREET
    RAVENSWOOD, WV
    ZIP 26164
  • Facility Phone: 304 273-4496
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHELLY H. BRIGHT
  • NPI Number: 1609391358
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D2234603
LAB Type Pharmacy
Facility Name WALGREENS #17280
Street 406 WASHINGTON STREET
City RAVENSWOOD
State WV
ZIP 26164
Phone 304 273-4496
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 SHELLY H. BRIGHT

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