51D2242641 CLIA NUMBER - WALGREENS #19709

Laboratory Demographics

  • CLIA Code: 51D2242641
  • Facility Name: WALGREENS #19709
  • Facility Address: 26 MADDEX SQUARE
    SHEPHERDSTOWN, WV
    ZIP 25443
  • Facility Phone: 304 846-0505
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEPHANIE A. NEAL
  • NPI Number: 1245756683
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D2242641
LAB Type Pharmacy
Facility Name WALGREENS #19709
Street 26 MADDEX SQUARE
City SHEPHERDSTOWN
State WV
ZIP 25443
Phone 304 846-0505
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2023
Certificate Expiration Date 11/9/2025
Facility Type Pharmacy
Lab Director STEPHANIE A. NEAL

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