51D2287528 CLIA NUMBER - WALGREENS 17413

Laboratory Demographics

  • CLIA Code: 51D2287528
  • Facility Name: WALGREENS 17413
  • Facility Address: 1662 SMOOT AVENUE PO BOX 286
    DANVILLE, WV
    ZIP 25053
  • Facility Phone: 304 369-0152
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EMILY OCONNOR
  • NPI Number: 1952827065
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D2287528
LAB Type Pharmacy
Facility Name WALGREENS 17413
Street 1662 SMOOT AVENUE PO BOX 286
City DANVILLE
State WV
ZIP 25053
Phone 304 369-0152
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 EMILY OCONNOR

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