34D2041281 CLIA NUMBER - WALGREENS #12630

Laboratory Demographics

  • CLIA Code: 34D2041281
  • Facility Name: WALGREENS #12630
  • Facility Address: 201 HILLSBORO ST
    OXFORD, NC
    ZIP 27565
  • Facility Phone: 919 603-1469
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BETTINA M. HARTGROVE
  • NPI Number: 1235360181
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2041281
LAB Type Pharmacy
Facility Name WALGREENS #12630
Street 201 HILLSBORO ST
City OXFORD
State NC
ZIP 27565
Phone 919 603-1469
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2025
Certificate Expiration Date 4/7/2027
Facility Type Pharmacy
Lab Director BETTINA M. HARTGROVE

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