34D2053865 CLIA NUMBER - WALGREENS #15151

Laboratory Demographics

  • CLIA Code: 34D2053865
  • Facility Name: WALGREENS #15151
  • Facility Address: 6330 RAEFORD RD
    FAYETTEVILLE, NC
    ZIP 28304
  • Facility Phone: 910 860-0058
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EDWIN C. KEETER JR
  • NPI Number: 1548516586
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2053865
LAB Type Pharmacy
Facility Name WALGREENS #15151
Street 6330 RAEFORD RD
City FAYETTEVILLE
State NC
ZIP 28304
Phone 910 860-0058
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/21/2025
Certificate Expiration Date 1/20/2027
Facility Type Pharmacy
Lab Director EDWIN C. KEETER JR

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