34D2039238 CLIA NUMBER - WALGREENS #7715

Laboratory Demographics

  • CLIA Code: 34D2039238
  • Facility Name: WALGREENS #7715
  • Facility Address: 103 GREENVILLE BOULEVARD SE
    GREENVILLE, NC
    ZIP 27858
  • Facility Phone: 252 756-1611
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CORY R. FULCHER
  • NPI Number: 1740297746
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2039238
LAB Type Pharmacy
Facility Name WALGREENS #7715
Street 103 GREENVILLE BOULEVARD SE
City GREENVILLE
State NC
ZIP 27858
Phone 252 756-1611
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2023
Certificate Expiration Date 12/13/2025
Facility Type Pharmacy
Lab Director CORY R. FULCHER

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