51D2287511 CLIA NUMBER - WALGREENS 17855

Laboratory Demographics

  • CLIA Code: 51D2287511
  • Facility Name: WALGREENS 17855
  • Facility Address: 6401 SISSONVILLE DRIVE
    CHARLESTON, WV
    ZIP 25312
  • Facility Phone: 304 984-9597
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KELLEY J. MCCLUNG
  • NPI Number: 1497271134
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D2287511
LAB Type Pharmacy
Facility Name WALGREENS 17855
Street 6401 SISSONVILLE DRIVE
City CHARLESTON
State WV
ZIP 25312
Phone 304 984-9597
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 KELLEY J. MCCLUNG

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