34D2044676 CLIA NUMBER - WALGREENS #10674

Laboratory Demographics

  • CLIA Code: 34D2044676
  • Facility Name: WALGREENS #10674
  • Facility Address: 5322 US HIGHWAY 158
    ADVANCE, NC
    ZIP 27006
  • Facility Phone: 336 940-5515
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KAYLA D. DORINSON
  • NPI Number: 1598988503
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2044676
LAB Type Pharmacy
Facility Name WALGREENS #10674
Street 5322 US HIGHWAY 158
City ADVANCE
State NC
ZIP 27006
Phone 336 940-5515
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2023
Certificate Expiration Date 10/12/2025
Facility Type Pharmacy
Lab Director KAYLA D. DORINSON

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This page was last updated on: 3/20/2025