51D2291465 CLIA NUMBER - WALGREENS 19307

Laboratory Demographics

  • CLIA Code: 51D2291465
  • Facility Name: WALGREENS 19307
  • Facility Address: 114 SOUTH MAIN ST
    PHILIPPI, WV
    ZIP 26416
  • Facility Phone: 304 457-4911
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHARLES T. DOUGLAS
  • NPI Number: 1205352895
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D2291465
LAB Type Pharmacy
Facility Name WALGREENS 19307
Street 114 SOUTH MAIN ST
City PHILIPPI
State WV
ZIP 26416
Phone 304 457-4911
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2025
Certificate Expiration Date 10/10/2027
Facility Type Pharmacy
Lab Director CHARLES T. DOUGLAS

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