34D2025371 CLIA NUMBER - WALGREENS #11691

Laboratory Demographics

  • CLIA Code: 34D2025371
  • Facility Name: WALGREENS #11691
  • Facility Address: 110 GROVE ST
    FAYETTEVILLE, NC
    ZIP 28301
  • Facility Phone: 910 223-0270
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KSENIA ZHURAVLEVA
  • NPI Number: 1669601068
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D2025371
LAB Type Pharmacy
Facility Name WALGREENS #11691
Street 110 GROVE ST
City FAYETTEVILLE
State NC
ZIP 28301
Phone 910 223-0270
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2025
Certificate Expiration Date 8/2/2027
Facility Type Pharmacy
Lab Director KSENIA ZHURAVLEVA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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