34D2039270 CLIA NUMBER - WALGREENS #10088

Laboratory Demographics

CLIA Number: 34D2039270

Facility Name: WALGREENS #10088

Facility Address:
5717 SOUTH NC 41 HWY
WALLACE, NC
ZIP 28466
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Facility Phone Number: 910 285-6481

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1548489016

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

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
CertificateType 4
CertificateEffectiveDate 3/22/2023
CertificateExpirationDate 3/21/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024