34D2041634 CLIA NUMBER - WALGREEN #9288

Laboratory Demographics

  • CLIA Code: 34D2041634
  • Facility Name: WALGREEN #9288
  • Facility Address: 2202 WAYNE MEMORIAL DR
    GOLDSBORO, NC
    ZIP 27534
  • Facility Phone: 919 739-5539
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CARL SOUTHERLAND
  • NPI Number: 1013922111
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D2041634
LAB Type Pharmacy
Facility Name WALGREEN #9288
Street 2202 WAYNE MEMORIAL DR
City GOLDSBORO
State NC
ZIP 27534
Phone 919 739-5539
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2025
Certificate Expiration Date 10/21/2027
Facility Type Pharmacy
Lab Director CARL SOUTHERLAND

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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