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51D2235268 CLIA NUMBER - WALGREENS #19991

Laboratory Demographics

CLIA Number: 51D2235268

Facility Name: WALGREENS #19991

Facility Address:
126 12TH STREET
WELLSBURG, WV
ZIP 26070
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Facility Phone Number: 304 737-0205

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1750807046

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 51D2235268
LAB Type Pharmacy
Facility Name WALGREENS #19991
Street 126 12TH STREET
City WELLSBURG
State WV
ZIP 26070
Phone 304 737-0205
CertificateType 4
CertificateEffectiveDate 9/8/2023
CertificateExpirationDate 9/7/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024