34D2062706 CLIA NUMBER - WALGREENS #06927

Laboratory Demographics

  • CLIA Code: 34D2062706
  • Facility Name: WALGREENS #06927
  • Facility Address: 2653 WARD BLVD
    WILSON, NC
    ZIP 27893
  • Facility Phone: 252 399-0760
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNA C. RAYNOR
  • NPI Number: 1154338119
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2062706
LAB Type Pharmacy
Facility Name WALGREENS #06927
Street 2653 WARD BLVD
City WILSON
State NC
ZIP 27893
Phone 252 399-0760
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2025
Certificate Expiration Date 3/7/2027
Facility Type Pharmacy
Lab Director JENNA C. RAYNOR

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