34D0949053 CLIA NUMBER - WALGREENS #16122

Laboratory Demographics

  • CLIA Code: 34D0949053
  • Facility Name: WALGREENS #16122
  • Facility Address: 1106 ENVIRON WAY
    CHAPEL HILL, NC
    ZIP 27517
  • Facility Phone: 919 942-8738
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAURA M. RUSSELL
  • NPI Number: 1902232572
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D0949053
LAB Type Pharmacy
Facility Name WALGREENS #16122
Street 1106 ENVIRON WAY
City CHAPEL HILL
State NC
ZIP 27517
Phone 919 942-8738
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/24/2024
Certificate Expiration Date 7/23/2026
Facility Type Pharmacy
Lab Director LAURA M. RUSSELL

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