34D2012904 CLIA NUMBER - WALGREENS #06951

Laboratory Demographics

  • CLIA Code: 34D2012904
  • Facility Name: WALGREENS #06951
  • Facility Address: 4521 OLEANDER DRIVE
    WILMINGTON, NC
    ZIP 28403
  • Facility Phone: 910 313-6794
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ILNE R. CARTER
  • NPI Number: 1396750493
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2012904
LAB Type Pharmacy
Facility Name WALGREENS #06951
Street 4521 OLEANDER DRIVE
City WILMINGTON
State NC
ZIP 28403
Phone 910 313-6794
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2023
Certificate Expiration Date 8/15/2025
Facility Type Pharmacy
Lab Director ILNE R. CARTER

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This page was last updated on: 6/4/2025