34D2015610 CLIA NUMBER - WALGREENS #02540

Laboratory Demographics

  • CLIA Code: 34D2015610
  • Facility Name: WALGREENS #02540
  • Facility Address: 2184 BLOWING ROCK RD
    BOONE, NC
    ZIP 28607
  • Facility Phone: 828 268-0727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BLAKE STICKLEY
  • NPI Number: 1386659464
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2015610
LAB Type Pharmacy
Facility Name WALGREENS #02540
Street 2184 BLOWING ROCK RD
City BOONE
State NC
ZIP 28607
Phone 828 268-0727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2025
Certificate Expiration Date 10/21/2027
Facility Type Pharmacy
Lab Director BLAKE STICKLEY

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