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51D2239679 CLIA NUMBER - WALGREENS #17335

Laboratory Demographics

CLIA Number: 51D2239679

Facility Name: WALGREENS #17335

Facility Address:
2211 PIKE ST
PARKERSBURG, WV
ZIP 26101
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Facility Phone Number: 304 485-5517

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1861919466

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 51D2239679
LAB Type Pharmacy
Facility Name WALGREENS #17335
Street 2211 PIKE ST
City PARKERSBURG
State WV
ZIP 26101
Phone 304 485-5517
CertificateType 4
CertificateEffectiveDate 10/13/2023
CertificateExpirationDate 10/12/2025
FacilityType Waiver

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