34D2042297 CLIA NUMBER - WALGREENS #12063

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Laboratory Demographics

CLIA Number: 34D2042297

Facility Name: WALGREENS #12063

Facility Address:
101 W GANNON AVE
ZEBULON, NC
ZIP 27597
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Facility Phone Number: 919 269-3323

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1366670952

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	34D2042297
LAB Type	Pharmacy
Facility Name	WALGREENS #12063
Street	101 W GANNON AVE
City	ZEBULON
State	NC
ZIP	27597
Phone	919 269-3323
CertificateType	4
CertificateEffectiveDate	10/4/2023
CertificateExpirationDate	10/3/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024