34D2040978 CLIA NUMBER - WALGREENS #09757

Laboratory Demographics

  • CLIA Code: 34D2040978
  • Facility Name: WALGREENS #09757
  • Facility Address: 8010 TRYON WOODS DRIVE
    CARY, NC
    ZIP 27518
  • Facility Phone: 919 851-6686
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: REBECCA OTTO
  • NPI Number: 1841473972
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2040978
LAB Type Pharmacy
Facility Name WALGREENS #09757
Street 8010 TRYON WOODS DRIVE
City CARY
State NC
ZIP 27518
Phone 919 851-6686
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2024
Certificate Expiration Date 12/15/2026
Facility Type Pharmacy
Lab Director REBECCA OTTO

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This page was last updated on: 6/4/2025