34D2050262 CLIA NUMBER - WALGREENS #15019

Laboratory Demographics

  • CLIA Code: 34D2050262
  • Facility Name: WALGREENS #15019
  • Facility Address: 2201 W MILLBROOK RD
    RALEIGH, NC
    ZIP 27612
  • Facility Phone: 919 785-2939
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THOMAS E. O REILLY
  • NPI Number: 1326396714
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2050262
LAB Type Pharmacy
Facility Name WALGREENS #15019
Street 2201 W MILLBROOK RD
City RALEIGH
State NC
ZIP 27612
Phone 919 785-2939
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2025
Certificate Expiration Date 6/30/2027
Facility Type Pharmacy
Lab Director THOMAS E. O REILLY

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