34D2041837 CLIA NUMBER - WALGREENS #15440

Laboratory Demographics

  • CLIA Code: 34D2041837
  • Facility Name: WALGREENS #15440
  • Facility Address: 5005 MACKAY ROAD
    JAMESTOWN, NC
    ZIP 27282
  • Facility Phone: 336 297-4788
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MOHAMMED F. ABUZUAITER
  • NPI Number: 1477568558
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2041837
LAB Type Pharmacy
Facility Name WALGREENS #15440
Street 5005 MACKAY ROAD
City JAMESTOWN
State NC
ZIP 27282
Phone 336 297-4788
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 MOHAMMED F. ABUZUAITER

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