34D2218391 CLIA NUMBER - WALGREENS #15475

Laboratory Demographics

  • CLIA Code: 34D2218391
  • Facility Name: WALGREENS #15475
  • Facility Address: 1519 N MAIN ST
    TARBORO, NC
    ZIP 27886
  • Facility Phone: 252 824-0342
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALEXANDRA D. LOPICCOLO
  • NPI Number: 1457775454
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2218391
LAB Type Pharmacy
Facility Name WALGREENS #15475
Street 1519 N MAIN ST
City TARBORO
State NC
ZIP 27886
Phone 252 824-0342
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2025
Certificate Expiration Date 3/28/2027
Facility Type Pharmacy
Lab Director ALEXANDRA D. LOPICCOLO

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