34D2013034 CLIA NUMBER - WALGREENS #07549

Laboratory Demographics

  • CLIA Code: 34D2013034
  • Facility Name: WALGREENS #07549
  • Facility Address: 4408 NEW BERN AVE
    RALEIGH, NC
    ZIP 27610
  • Facility Phone: 919 231-6419
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMES LAGASCA
  • NPI Number: 1841205846
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2013034
LAB Type Pharmacy
Facility Name WALGREENS #07549
Street 4408 NEW BERN AVE
City RALEIGH
State NC
ZIP 27610
Phone 919 231-6419
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2024
Certificate Expiration Date 9/13/2026
Facility Type Pharmacy
Lab Director JAMES LAGASCA

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