34D2218782 CLIA NUMBER - WALGREENS #17516

Laboratory Demographics

  • CLIA Code: 34D2218782
  • Facility Name: WALGREENS #17516
  • Facility Address: 5312 VIRGINIA DARE TRL N
    KITTY HAWK, NC
    ZIP 27949
  • Facility Phone: 252 261-8900
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BENJAMIN D. PERKINS
  • NPI Number: 1366968380
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2218782
LAB Type Pharmacy
Facility Name WALGREENS #17516
Street 5312 VIRGINIA DARE TRL N
City KITTY HAWK
State NC
ZIP 27949
Phone 252 261-8900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2025
Certificate Expiration Date 3/30/2027
Facility Type Pharmacy
Lab Director BENJAMIN D. PERKINS

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