34D2015568 CLIA NUMBER - WALGREENS #07475

Laboratory Demographics

  • CLIA Code: 34D2015568
  • Facility Name: WALGREENS #07475
  • Facility Address: 101 SMITH CHURCH ROAD
    ROANOKE RAPIDS, NC
    ZIP 27870
  • Facility Phone: 252 535-4037
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFER L. FALESKI
  • NPI Number: 1487669487
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2015568
LAB Type Pharmacy
Facility Name WALGREENS #07475
Street 101 SMITH CHURCH ROAD
City ROANOKE RAPIDS
State NC
ZIP 27870
Phone 252 535-4037
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2025
Certificate Expiration Date 10/14/2027
Facility Type Pharmacy
Lab Director JENNIFER L. FALESKI

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