34D2015575 CLIA NUMBER - WALGREENS #09434

Laboratory Demographics

  • CLIA Code: 34D2015575
  • Facility Name: WALGREENS #09434
  • Facility Address: 424 NORTH BRIGHTLEAF BLVD
    SMITHFIELD, NC
    ZIP 27577
  • Facility Phone: 919 989-4058
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JESSI B. MORGAN
  • NPI Number: 1386659472
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2015575
LAB Type Pharmacy
Facility Name WALGREENS #09434
Street 424 NORTH BRIGHTLEAF BLVD
City SMITHFIELD
State NC
ZIP 27577
Phone 919 989-4058
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2023
Certificate Expiration Date 10/26/2025
Facility Type Pharmacy
Lab Director JESSI B. MORGAN

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