34D2041817 CLIA NUMBER - WALGREENS #11838

Laboratory Demographics

  • CLIA Code: 34D2041817
  • Facility Name: WALGREENS #11838
  • Facility Address: 25 BURKE BLVD
    LOUISBURG, NC
    ZIP 27549
  • Facility Phone: 919 496-2541
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DYLAN J. SMITH
  • NPI Number: 1669639902
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2041817
LAB Type Pharmacy
Facility Name WALGREENS #11838
Street 25 BURKE BLVD
City LOUISBURG
State NC
ZIP 27549
Phone 919 496-2541
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2025
Certificate Expiration Date 4/21/2027
Facility Type Pharmacy
Lab Director DYLAN J. SMITH

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