34D2222740 CLIA NUMBER - WALGREENS #12562

Laboratory Demographics

  • CLIA Code: 34D2222740
  • Facility Name: WALGREENS #12562
  • Facility Address: 2912 MAIN ST
    WALKERTOWN, NC
    ZIP 27051
  • Facility Phone: 336 595-2638
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: COURTNEY L. PEGRAM
  • NPI Number: 1306174230
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2222740
LAB Type Pharmacy
Facility Name WALGREENS #12562
Street 2912 MAIN ST
City WALKERTOWN
State NC
ZIP 27051
Phone 336 595-2638
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2025
Certificate Expiration Date 4/29/2027
Facility Type Pharmacy
Lab Director COURTNEY L. PEGRAM

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