34D2039254 CLIA NUMBER - WALGREEN #11837

Laboratory Demographics

  • CLIA Code: 34D2039254
  • Facility Name: WALGREEN #11837
  • Facility Address: 1138 SABBATH HOME RD SW
    HOLDEN BEACH, NC
    ZIP 28462
  • Facility Phone: 910 846-3336
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANGELA PYATTE
  • NPI Number: 1366684656
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2039254
LAB Type Pharmacy
Facility Name WALGREEN #11837
Street 1138 SABBATH HOME RD SW
City HOLDEN BEACH
State NC
ZIP 28462
Phone 910 846-3336
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2025
Certificate Expiration Date 3/28/2027
Facility Type Pharmacy
Lab Director ANGELA PYATTE

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