34D2037461 CLIA NUMBER - WALGREENS #07153

Laboratory Demographics

  • CLIA Code: 34D2037461
  • Facility Name: WALGREENS #07153
  • Facility Address: 2960 HOPE MILLS RD
    FAYETTEVILLE, NC
    ZIP 28306
  • Facility Phone: 910 424-9213
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: COFFEY PONDANESA
  • NPI Number: 1851306955
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2037461
LAB Type Pharmacy
Facility Name WALGREENS #07153
Street 2960 HOPE MILLS RD
City FAYETTEVILLE
State NC
ZIP 28306
Phone 910 424-9213
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2025
Certificate Expiration Date 3/7/2027
Facility Type Pharmacy
Lab Director COFFEY PONDANESA

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