34D2216551 CLIA NUMBER - WALGREENS #17076

Laboratory Demographics

  • CLIA Code: 34D2216551
  • Facility Name: WALGREENS #17076
  • Facility Address: 121 RAILROAD AVENUE
    RUTHERFORDTON, NC
    ZIP 28139
  • Facility Phone: 828 286-9133
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LINDSEY M. GRANT
  • NPI Number: 1831616598
  • Taxonomy: 333600000X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2025
Certificate Expiration Date 3/13/2027
Facility Type Pharmacy
Lab Director LINDSEY M. GRANT

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