34D2184034 CLIA NUMBER - WILSON VALUE DRUG STORE

Laboratory Demographics

  • CLIA Code: 34D2184034
  • Facility Name: WILSON VALUE DRUG STORE
  • Facility Address: 404 NASH ST EAST
    WILSON, NC
    ZIP 27893
  • Facility Phone: 252 293-4177
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: IJEMOA UWAKWE
  • NPI Number: 1629477377
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2184034
LAB Type Pharmacy
Facility Name WILSON VALUE DRUG STORE
Street 404 NASH ST EAST
City WILSON
State NC
ZIP 27893
Phone 252 293-4177
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2024
Certificate Expiration Date 5/13/2026
Facility Type Pharmacy
Lab Director IJEMOA UWAKWE

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