34D2191488 CLIA NUMBER - WALGREENS #16138

Laboratory Demographics

  • CLIA Code: 34D2191488
  • Facility Name: WALGREENS #16138
  • Facility Address: 3905 N ROXBORO ST
    DURHAM, NC
    ZIP 27704
  • Facility Phone: 919 471-1534
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NICOLE BARTLESON
  • NPI Number: 1861828451
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2191488
LAB Type Pharmacy
Facility Name WALGREENS #16138
Street 3905 N ROXBORO ST
City DURHAM
State NC
ZIP 27704
Phone 919 471-1534
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2024
Certificate Expiration Date 8/26/2026
Facility Type Pharmacy
Lab Director NICOLE BARTLESON

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