34D2062054 CLIA NUMBER - WALGREENS #01253

Laboratory Demographics

  • CLIA Code: 34D2062054
  • Facility Name: WALGREENS #01253
  • Facility Address: 340 N MAIN STREET
    KERNERSVILLE, NC
    ZIP 27284
  • Facility Phone: 336 993-5689
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRIGIDA JURADO
  • NPI Number: 1659386738
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2062054
LAB Type Pharmacy
Facility Name WALGREENS #01253
Street 340 N MAIN STREET
City KERNERSVILLE
State NC
ZIP 27284
Phone 336 993-5689
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2025
Certificate Expiration Date 6/1/2027
Facility Type Pharmacy
Lab Director BRIGIDA JURADO

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This page was last updated on: 6/4/2025