34D2016687 CLIA NUMBER - WALGREENS #01319

Laboratory Demographics

  • CLIA Code: 34D2016687
  • Facility Name: WALGREENS #01319
  • Facility Address: 2130 S 17TH STREET
    WILMINGTON, NC
    ZIP 28401
  • Facility Phone: 910 343-2988
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARYBROOKS T. PARROW
  • NPI Number: 1265694228
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2016687
LAB Type Pharmacy
Facility Name WALGREENS #01319
Street 2130 S 17TH STREET
City WILMINGTON
State NC
ZIP 28401
Phone 910 343-2988
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/21/2025
Certificate Expiration Date 1/20/2027
Facility Type Pharmacy
Lab Director MARYBROOKS T. PARROW

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