34D2070264 CLIA NUMBER - WALGREENS #15511

Laboratory Demographics

  • CLIA Code: 34D2070264
  • Facility Name: WALGREENS #15511
  • Facility Address: 4003 W VERNON AVE
    KINSTON, NC
    ZIP 28504
  • Facility Phone: 252 559-1121
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: OLIVIA N. PRICE
  • NPI Number: 1013355098
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2070264
LAB Type Pharmacy
Facility Name WALGREENS #15511
Street 4003 W VERNON AVE
City KINSTON
State NC
ZIP 28504
Phone 252 559-1121
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2025
Certificate Expiration Date 4/7/2027
Facility Type Pharmacy
Lab Director OLIVIA N. PRICE

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