34D2027710 CLIA NUMBER - WALGREENS #09348

Laboratory Demographics

  • CLIA Code: 34D2027710
  • Facility Name: WALGREENS #09348
  • Facility Address: 1600 GUM BRANCH RD
    JACKSONVILLE, NC
    ZIP 28540
  • Facility Phone: 910 478-4949
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MELISSA M. BELL
  • NPI Number: 1831104934
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2027710
LAB Type Pharmacy
Facility Name WALGREENS #09348
Street 1600 GUM BRANCH RD
City JACKSONVILLE
State NC
ZIP 28540
Phone 910 478-4949
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 MELISSA M. BELL

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