34D2041281 CLIA NUMBER - WALGREENS #12630

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Laboratory Demographics

CLIA Number: 34D2041281

Facility Name: WALGREENS #12630

Facility Address:
201 HILLSBORO ST
OXFORD, NC
ZIP 27565
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Facility Phone Number: 919 603-1469

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1235360181

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	34D2041281
LAB Type	Pharmacy
Facility Name	WALGREENS #12630
Street	201 HILLSBORO ST
City	OXFORD
State	NC
ZIP	27565
Phone	919 603-1469
CertificateType	4
CertificateEffectiveDate	4/8/2023
CertificateExpirationDate	4/7/2025
FacilityType	Waiver

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