51D2291486 CLIA NUMBER - WALGREENS 17806

Laboratory Demographics

  • CLIA Code: 51D2291486
  • Facility Name: WALGREENS 17806
  • Facility Address: 8 GAYLE DR
    BERKELEY SPRINGS, WV
    ZIP 25411
  • Facility Phone: 304 258-4955
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RACHAEL B. PACK
  • NPI Number: 1508382227
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D2291486
LAB Type Pharmacy
Facility Name WALGREENS 17806
Street 8 GAYLE DR
City BERKELEY SPRINGS
State WV
ZIP 25411
Phone 304 258-4955
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 RACHAEL B. PACK

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