34D2218896 CLIA NUMBER - WALGREENS # 16164

Laboratory Demographics

CLIA Number: 34D2218896

Facility Name: WALGREENS # 16164

Facility Address:
703 E WASHINGTON ST
NASHVILLE, NC
ZIP 27856
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Facility Phone Number: 252 459-2639

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1225464746

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	34D2218896
LAB Type	Pharmacy
Facility Name	WALGREENS # 16164
Street	703 E WASHINGTON ST
City	NASHVILLE
State	NC
ZIP	27856
Phone	252 459-2639
CertificateType	4
CertificateEffectiveDate	3/31/2023
CertificateExpirationDate	3/30/2025
FacilityType	Waiver

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