51D2287547 CLIA NUMBER - WALGREENS 19616

Laboratory Demographics

  • CLIA Code: 51D2287547
  • Facility Name: WALGREENS 19616
  • Facility Address: 337 MAIN ST
    GRANTSVILLE, WV
    ZIP 26147
  • Facility Phone: 304 354-9232
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LESLIE D. WILLIAMS
  • NPI Number: 1093231904
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D2287547
LAB Type Pharmacy
Facility Name WALGREENS 19616
Street 337 MAIN ST
City GRANTSVILLE
State WV
ZIP 26147
Phone 304 354-9232
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 LESLIE D. WILLIAMS

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