34D2012979 CLIA NUMBER - WALGREENS #01056

Laboratory Demographics

  • CLIA Code: 34D2012979
  • Facility Name: WALGREENS #01056
  • Facility Address: 3003 FAYETTEVILLE RD
    LUMBERTON, NC
    ZIP 28358
  • Facility Phone: 910 739-7075
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MELINDA WARD
  • NPI Number: 1558376632
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2012979
LAB Type Pharmacy
Facility Name WALGREENS #01056
Street 3003 FAYETTEVILLE RD
City LUMBERTON
State NC
ZIP 28358
Phone 910 739-7075
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2024
Certificate Expiration Date 3/21/2026
Facility Type Pharmacy
Lab Director MELINDA WARD

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