51D2287531 CLIA NUMBER - WALGREENS 19090

Laboratory Demographics

  • CLIA Code: 51D2287531
  • Facility Name: WALGREENS 19090
  • Facility Address: 8 ELK PLZ
    ELKVIEW, WV
    ZIP 25071
  • Facility Phone: 304 965-1111
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JONATHAN T. BURNSIDE
  • NPI Number: 1396262275
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D2287531
LAB Type Pharmacy
Facility Name WALGREENS 19090
Street 8 ELK PLZ
City ELKVIEW
State WV
ZIP 25071
Phone 304 965-1111
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 JONATHAN T. BURNSIDE

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