34D2046039 CLIA NUMBER - WALGREENS #11088

Laboratory Demographics

  • CLIA Code: 34D2046039
  • Facility Name: WALGREENS #11088
  • Facility Address: 1500 E BROAD AVE
    ROCKINGHAM, NC
    ZIP 28379
  • Facility Phone: 910 410-3710
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VICTORIA L. MABE
  • NPI Number: 1528293768
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2046039
LAB Type Pharmacy
Facility Name WALGREENS #11088
Street 1500 E BROAD AVE
City ROCKINGHAM
State NC
ZIP 28379
Phone 910 410-3710
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2025
Certificate Expiration Date 7/12/2027
Facility Type Pharmacy
Lab Director VICTORIA L. MABE

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