34D2039055 CLIA NUMBER - WALGREENS #9634

Laboratory Demographics

  • CLIA Code: 34D2039055
  • Facility Name: WALGREENS #9634
  • Facility Address: 6901 GLENWOOD AVE
    RALEIGH, NC
    ZIP 27612
  • Facility Phone: 919 420-7737
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SAMAREH JAVADIAN
  • NPI Number: 1093993206
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D2039055
LAB Type Pharmacy
Facility Name WALGREENS #9634
Street 6901 GLENWOOD AVE
City RALEIGH
State NC
ZIP 27612
Phone 919 420-7737
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2025
Certificate Expiration Date 4/29/2027
Facility Type Pharmacy
Lab Director SAMAREH JAVADIAN

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