34D2046038 CLIA NUMBER - WALGREENS #9090

Laboratory Demographics

  • CLIA Code: 34D2046038
  • Facility Name: WALGREENS #9090
  • Facility Address: 317 S MAIN ST
    GRAHAM, NC
    ZIP 27253
  • Facility Phone: 336 222-6862
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KAITLYN T. JOHNSON
  • NPI Number: 1821003906
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2046038
LAB Type Pharmacy
Facility Name WALGREENS #9090
Street 317 S MAIN ST
City GRAHAM
State NC
ZIP 27253
Phone 336 222-6862
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2025
Certificate Expiration Date 3/14/2027
Facility Type Pharmacy
Lab Director KAITLYN T. JOHNSON

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