34D2015627 CLIA NUMBER - WALGREENS #12283

Laboratory Demographics

  • CLIA Code: 34D2015627
  • Facility Name: WALGREENS #12283
  • Facility Address: 300 E CORNWALLIS DRIVE
    GREENSBORO, NC
    ZIP 27408
  • Facility Phone: 336 275-9471
  • Facility Type: Other - COVID-19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: ROBERT F. TAYLOR
  • NPI Number: 1083845259
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2015627
LAB Type Other - COVID-19 TEST SITE
Facility Name WALGREENS #12283
Street 300 E CORNWALLIS DRIVE
City GREENSBORO
State NC
ZIP 27408
Phone 336 275-9471
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2024
Certificate Expiration Date 12/15/2026
Facility Type Other - COVID-19 TEST SITE
Lab Director ROBERT F. TAYLOR

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This page was last updated on: 6/4/2025