34D2039515 CLIA NUMBER - WALGREENS #07749

Laboratory Demographics

  • CLIA Code: 34D2039515
  • Facility Name: WALGREENS #07749
  • Facility Address: 852 SUNSET BOULEVARD N
    SUNSET BEACH, NC
    ZIP 28468
  • Facility Phone: (910) 579-4503
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TRAVIS FULLER
  • NPI Number: 1750396859
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2039515
LAB Type Pharmacy
Facility Name WALGREENS #07749
Street 852 SUNSET BOULEVARD N
City SUNSET BEACH
State NC
ZIP 28468
Phone 9105794503
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 TRAVIS FULLER

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This page was last updated on: 5/18/2026