51D2234765 CLIA NUMBER - WALGREENS #18959

Laboratory Demographics

  • CLIA Code: 51D2234765
  • Facility Name: WALGREENS #18959
  • Facility Address: 109 EAST MAIN STEET
    MANNINGTON, WV
    ZIP 26582
  • Facility Phone: 304 986-2280
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUMMER L. LUDWICK
  • NPI Number: 1629594296
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D2234765
LAB Type Pharmacy
Facility Name WALGREENS #18959
Street 109 EAST MAIN STEET
City MANNINGTON
State WV
ZIP 26582
Phone 304 986-2280
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2025
Certificate Expiration Date 9/1/2027
Facility Type Pharmacy
Lab Director SUMMER L. LUDWICK

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