34D2015622 CLIA NUMBER - WALGREENS #07479

Laboratory Demographics

  • CLIA Code: 34D2015622
  • Facility Name: WALGREENS #07479
  • Facility Address: 1956 S HORNER BOULEVARD
    SANFORD, NC
    ZIP 27330
  • Facility Phone: 919 775-4361
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SANDY YU
  • NPI Number: 1669487765
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2015622
LAB Type Pharmacy
Facility Name WALGREENS #07479
Street 1956 S HORNER BOULEVARD
City SANFORD
State NC
ZIP 27330
Phone 919 775-4361
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2025
Certificate Expiration Date 3/13/2027
Facility Type Pharmacy
Lab Director SANDY YU

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