34D2041833 CLIA NUMBER - WALGREENS #10675

Laboratory Demographics

  • CLIA Code: 34D2041833
  • Facility Name: WALGREENS #10675
  • Facility Address: 4568 US HIGHWAY 220 N
    SUMMERFIELD, NC
    ZIP 27358
  • Facility Phone: 336 644-1765
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BOB PHILLIPS
  • NPI Number: 1962640060
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2041833
LAB Type Pharmacy
Facility Name WALGREENS #10675
Street 4568 US HIGHWAY 220 N
City SUMMERFIELD
State NC
ZIP 27358
Phone 336 644-1765
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2025
Certificate Expiration Date 6/23/2027
Facility Type Pharmacy
Lab Director BOB PHILLIPS

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