51D2235052 CLIA NUMBER - WALGREENS #17792

Laboratory Demographics

  • CLIA Code: 51D2235052
  • Facility Name: WALGREENS #17792
  • Facility Address: 901 MAIN ST
    CHAPMANVILLE, WV
    ZIP 25508
  • Facility Phone: 304 855-1032
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KELLY A. ALESHIRE
  • NPI Number: 1427574441
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D2235052
LAB Type Pharmacy
Facility Name WALGREENS #17792
Street 901 MAIN ST
City CHAPMANVILLE
State WV
ZIP 25508
Phone 304 855-1032
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/7/2025
Certificate Expiration Date 9/6/2027
Facility Type Pharmacy
Lab Director KELLY A. ALESHIRE

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