34D2015578 CLIA NUMBER - WALGREENS #06813

Laboratory Demographics

  • CLIA Code: 34D2015578
  • Facility Name: WALGREENS #06813
  • Facility Address: 4701 W MARKET ST
    GREENSBORO, NC
    ZIP 27407
  • Facility Phone: 336 854-7827
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GRACE U. IWEKUBA
  • NPI Number: 1043227002
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2015578
LAB Type Pharmacy
Facility Name WALGREENS #06813
Street 4701 W MARKET ST
City GREENSBORO
State NC
ZIP 27407
Phone 336 854-7827
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2025
Certificate Expiration Date 5/20/2027
Facility Type Pharmacy
Lab Director GRACE U. IWEKUBA

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