34D2069509 CLIA NUMBER - WALGREEN #06616

Laboratory Demographics

  • CLIA Code: 34D2069509
  • Facility Name: WALGREEN #06616
  • Facility Address: 2105 E FIRE TOWER ROAD
    GREENVILLE, NC
    ZIP 27858
  • Facility Phone: 252 321-6582
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KAILA L. BROWN
  • NPI Number: 1336156397
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2069509
LAB Type Physician Office
Facility Name WALGREEN #06616
Street 2105 E FIRE TOWER ROAD
City GREENVILLE
State NC
ZIP 27858
Phone 252 321-6582
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2025
Certificate Expiration Date 4/29/2027
Facility Type Physician Office
Lab Director KAILA L. BROWN

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