34D2039092 CLIA NUMBER - WALGREENS #11713

Laboratory Demographics

  • CLIA Code: 34D2039092
  • Facility Name: WALGREENS #11713
  • Facility Address: 12530 CLEVELAND RD
    GARNER, NC
    ZIP 27529
  • Facility Phone: 919 773-9772
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RDA J. HABIB
  • NPI Number: 1356593396
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2039092
LAB Type Pharmacy
Facility Name WALGREENS #11713
Street 12530 CLEVELAND RD
City GARNER
State NC
ZIP 27529
Phone 919 773-9772
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2024
Certificate Expiration Date 1/25/2026
Facility Type Pharmacy
Lab Director RDA J. HABIB

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