34D2205973 CLIA NUMBER - WALGREENS #10090

Laboratory Demographics

  • CLIA Code: 34D2205973
  • Facility Name: WALGREENS #10090
  • Facility Address: 12311 N NC HIGHWAY 150
    WINSTON-SALEM, NC
    ZIP 27127
  • Facility Phone: 336 769-6916
  • Facility Type: Other - COVID-19 TES SIE
  • Facility Type: Waiver
  • Lab Director: ANTHONY S. HEDGES
  • NPI Number: 1932627908
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2205973
LAB Type Other - COVID-19 TES SIE
Facility Name WALGREENS #10090
Street 12311 N NC HIGHWAY 150
City WINSTON-SALEM
State NC
ZIP 27127
Phone 336 769-6916
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2024
Certificate Expiration Date 12/15/2026
Facility Type Other - COVID-19 TES SIE
Lab Director ANTHONY S. HEDGES

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