34D2039196 CLIA NUMBER - WALGREENS #9897

Laboratory Demographics

  • CLIA Code: 34D2039196
  • Facility Name: WALGREENS #9897
  • Facility Address: 2201 N HERRITAGE ST
    KINSTON, NC
    ZIP 28501
  • Facility Phone: 252 522-4902
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEREMY E. JOHNSON
  • NPI Number: 1669498325
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2039196
LAB Type Pharmacy
Facility Name WALGREENS #9897
Street 2201 N HERRITAGE ST
City KINSTON
State NC
ZIP 28501
Phone 252 522-4902
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2025
Certificate Expiration Date 10/10/2027
Facility Type Pharmacy
Lab Director JEREMY E. JOHNSON

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