34D2217432 CLIA NUMBER - WALGREENS # 19865

Laboratory Demographics

  • CLIA Code: 34D2217432
  • Facility Name: WALGREENS # 19865
  • Facility Address: 3590 SUNSET AVENUE
    ROCKY MOUNT, NC
    ZIP 27804
  • Facility Phone: 252 443-5101
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ISOLDA V. CHAVARRIA
  • NPI Number: 1831617232
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2217432
LAB Type Pharmacy
Facility Name WALGREENS # 19865
Street 3590 SUNSET AVENUE
City ROCKY MOUNT
State NC
ZIP 27804
Phone 252 443-5101
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2025
Certificate Expiration Date 3/21/2027
Facility Type Pharmacy
Lab Director ISOLDA V. CHAVARRIA

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