34D2056934 CLIA NUMBER - WALGREENS #10154

Laboratory Demographics

  • CLIA Code: 34D2056934
  • Facility Name: WALGREENS #10154
  • Facility Address: 6028 S NC 16 HWY
    MAIDEN, NC
    ZIP 28650
  • Facility Phone: 704 483-9133
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JESSE K. OFORI-NYARKO
  • NPI Number: 1518158351
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2056934
LAB Type Pharmacy
Facility Name WALGREENS #10154
Street 6028 S NC 16 HWY
City MAIDEN
State NC
ZIP 28650
Phone 704 483-9133
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2025
Certificate Expiration Date 5/9/2027
Facility Type Pharmacy
Lab Director JESSE K. OFORI-NYARKO

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