51D2287488 CLIA NUMBER - WALGREENS 17405

Laboratory Demographics

  • CLIA Code: 51D2287488
  • Facility Name: WALGREENS 17405
  • Facility Address: 401 BUCKHANNON PIKE
    NUTTER FORT, WV
    ZIP 26301
  • Facility Phone: 304 622-1204
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMY L. LUSK
  • NPI Number: 1518483361
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D2287488
LAB Type Pharmacy
Facility Name WALGREENS 17405
Street 401 BUCKHANNON PIKE
City NUTTER FORT
State WV
ZIP 26301
Phone 304 622-1204
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Pharmacy
Lab Director AMY L. LUSK

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