51D2287552 CLIA NUMBER - WALGREENS 17353

Laboratory Demographics

CLIA Number: 51D2287552

Facility Name: WALGREENS 17353

Facility Address:
1301 WASHINGTON STREET EAST
CHARLESTON, WV
ZIP 25301
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Facility Phone Number: 304 346-9382

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1336664002

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	51D2287552
LAB Type	Pharmacy
Facility Name	WALGREENS 17353
Street	1301 WASHINGTON STREET EAST
City	CHARLESTON
State	WV
ZIP	25301
Phone	304 346-9382
CertificateType	4
CertificateEffectiveDate	8/15/2023
CertificateExpirationDate	8/14/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024