34D2041611 CLIA NUMBER - WALGREENS #09661

Laboratory Demographics

  • CLIA Code: 34D2041611
  • Facility Name: WALGREENS #09661
  • Facility Address: 705 JAKE ALEXANDER BLVD WEST
    SALISBURY, NC
    ZIP 28147
  • Facility Phone: 704 630-0738
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: REBEKAH J. RUGGLES
  • NPI Number: 1568477669
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2041611
LAB Type Pharmacy
Facility Name WALGREENS #09661
Street 705 JAKE ALEXANDER BLVD WEST
City SALISBURY
State NC
ZIP 28147
Phone 704 630-0738
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/27/2025
Certificate Expiration Date 5/26/2027
Facility Type Pharmacy
Lab Director REBEKAH J. RUGGLES

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