34D2062054 CLIA NUMBER - WALGREENS #01253

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Laboratory Demographics

CLIA Number: 34D2062054

Facility Name: WALGREENS #01253

Facility Address:
340 N MAIN STREET
KERNERSVILLE, NC
ZIP 27284
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Facility Phone Number: 336 993-5689

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1659386738

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	34D2062054
LAB Type	Pharmacy
Facility Name	WALGREENS #01253
Street	340 N MAIN STREET
City	KERNERSVILLE
State	NC
ZIP	27284
Phone	336 993-5689
CertificateType	4
CertificateEffectiveDate	6/2/2023
CertificateExpirationDate	6/1/2025
FacilityType	Waiver

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