34D2046028 CLIA NUMBER - WALGREENS #11894

Laboratory Demographics

  • CLIA Code: 34D2046028
  • Facility Name: WALGREENS #11894
  • Facility Address: 1109W NC HWY 54
    DURHAM, NC
    ZIP 27707
  • Facility Phone: 919 403-8059
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DUSTIN J. CRANE
  • NPI Number: 1467685552
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D2046028
LAB Type Pharmacy
Facility Name WALGREENS #11894
Street 1109W NC HWY 54
City DURHAM
State NC
ZIP 27707
Phone 919 403-8059
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/27/2025
Certificate Expiration Date 5/26/2027
Facility Type Pharmacy
Lab Director DUSTIN J. CRANE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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