34D2041613 CLIA NUMBER - WALGREENS #12728

Laboratory Demographics

  • CLIA Code: 34D2041613
  • Facility Name: WALGREENS #12728
  • Facility Address: 2104 E NC HIGHWAY 54
    DURHAM, NC
    ZIP 27713
  • Facility Phone: 919 361-5304
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MEGAN R. RAYSOR
  • NPI Number: 1699008516
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2041613
LAB Type Pharmacy
Facility Name WALGREENS #12728
Street 2104 E NC HIGHWAY 54
City DURHAM
State NC
ZIP 27713
Phone 919 361-5304
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2025
Certificate Expiration Date 10/6/2027
Facility Type Pharmacy
Lab Director MEGAN R. RAYSOR

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