34D2039270 CLIA NUMBER - WALGREENS #10088

Laboratory Demographics

  • CLIA Code: 34D2039270
  • Facility Name: WALGREENS #10088
  • Facility Address: 5717 SOUTH NC 41 HWY
    WALLACE, NC
    ZIP 28466
  • Facility Phone: 910 285-6481
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NATALIYA Y. GOINGS
  • NPI Number: 1548489016
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2039270
LAB Type Pharmacy
Facility Name WALGREENS #10088
Street 5717 SOUTH NC 41 HWY
City WALLACE
State NC
ZIP 28466
Phone 910 285-6481
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2025
Certificate Expiration Date 3/21/2027
Facility Type Pharmacy
Lab Director NATALIYA Y. GOINGS

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