51D2288062 CLIA NUMBER - WALGREENS 19790

Laboratory Demographics

  • CLIA Code: 51D2288062
  • Facility Name: WALGREENS 19790
  • Facility Address: 1101 MYERS AVENUE
    DUNBAR, WV
    ZIP 25064
  • Facility Phone: 304 768-1284
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER R. NEWMAN
  • NPI Number: 1275059610
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D2288062
LAB Type Pharmacy
Facility Name WALGREENS 19790
Street 1101 MYERS AVENUE
City DUNBAR
State WV
ZIP 25064
Phone 304 768-1284
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2025
Certificate Expiration Date 8/20/2027
Facility Type Pharmacy
Lab Director CHRISTOPHER R. NEWMAN

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