34D2039257 CLIA NUMBER - WALGREENS#9462

Laboratory Demographics

  • CLIA Code: 34D2039257
  • Facility Name: WALGREENS#9462
  • Facility Address: 601 COLLEGE ST
    CLINTON, NC
    ZIP 28328
  • Facility Phone: 910 592-4058
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JESSICA E. BASS
  • NPI Number: 1740295849
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2039257
LAB Type Pharmacy
Facility Name WALGREENS#9462
Street 601 COLLEGE ST
City CLINTON
State NC
ZIP 28328
Phone 910 592-4058
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2025
Certificate Expiration Date 8/2/2027
Facility Type Pharmacy
Lab Director JESSICA E. BASS

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