34D2046056 CLIA NUMBER - WALGREENS #11803

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Laboratory Demographics

CLIA Number: 34D2046056

Facility Name: WALGREENS #11803

Facility Address:
801 MEBANE OAKS RD
MEBANE, NC
ZIP 27302
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Facility Phone Number: 919 563-5521

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1023321015

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	34D2046056
LAB Type	Pharmacy
Facility Name	WALGREENS #11803
Street	801 MEBANE OAKS RD
City	MEBANE
State	NC
ZIP	27302
Phone	919 563-5521
CertificateType	4
CertificateEffectiveDate	3/26/2023
CertificateExpirationDate	3/25/2025
FacilityType	Waiver

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