34D2021415 CLIA NUMBER - WALGREENS #11895

Laboratory Demographics

  • CLIA Code: 34D2021415
  • Facility Name: WALGREENS #11895
  • Facility Address: 5053 HIGHWAY 70 W
    MOREHEAD CITY, NC
    ZIP 28557
  • Facility Phone: 252 222-0288
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHUC A. PHAN
  • NPI Number: 1093955155
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2021415
LAB Type Pharmacy
Facility Name WALGREENS #11895
Street 5053 HIGHWAY 70 W
City MOREHEAD CITY
State NC
ZIP 28557
Phone 252 222-0288
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 CHUC A. PHAN

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