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34D2216551 CLIA NUMBER - WALGREENS #17076

Laboratory Demographics

CLIA Number: 34D2216551

Facility Name: WALGREENS #17076

Facility Address:
121 RAILROAD AVENUE
RUTHERFORDTON, NC
ZIP 28139
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Facility Phone Number: 828 286-9133

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1831616598

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 34D2216551
LAB Type Pharmacy
Facility Name WALGREENS #17076
Street 121 RAILROAD AVENUE
City RUTHERFORDTON
State NC
ZIP 28139
Phone 828 286-9133
CertificateType 4
CertificateEffectiveDate 3/14/2023
CertificateExpirationDate 3/13/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024