34D2015572 CLIA NUMBER - WALGREENS #09988

Laboratory Demographics

  • CLIA Code: 34D2015572
  • Facility Name: WALGREENS #09988
  • Facility Address: 627 EAST 12TH STREET
    WASHINGTON, NC
    ZIP 27889
  • Facility Phone: 252 940-1529
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EYAS MUALLA
  • NPI Number: 1669510459
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2015572
LAB Type Pharmacy
Facility Name WALGREENS #09988
Street 627 EAST 12TH STREET
City WASHINGTON
State NC
ZIP 27889
Phone 252 940-1529
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2025
Certificate Expiration Date 8/16/2027
Facility Type Pharmacy
Lab Director EYAS MUALLA

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