34D2057023 CLIA NUMBER - WALGREENS #15251

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Laboratory Demographics

CLIA Number: 34D2057023

Facility Name: WALGREENS #15251

Facility Address:
700 CATHERINE CREEK RD
AHOSKIE, NC
ZIP 27910
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Facility Phone Number: 252 862-0009

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1548512122

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	34D2057023
LAB Type	Pharmacy
Facility Name	WALGREENS #15251
Street	700 CATHERINE CREEK RD
City	AHOSKIE
State	NC
ZIP	27910
Phone	252 862-0009
CertificateType	4
CertificateEffectiveDate	6/29/2023
CertificateExpirationDate	6/28/2025
FacilityType	Waiver

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