34D2223807 CLIA NUMBER - WALGREENS #17554

Laboratory Demographics

  • CLIA Code: 34D2223807
  • Facility Name: WALGREENS #17554
  • Facility Address: 1736 OLD MORGANTON RD
    SOUTHERN PINES, NC
    ZIP 28387
  • Facility Phone: 910 692-7158
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KENNEDY L. LIEBERMAN
  • NPI Number: 1710404876
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D2223807
LAB Type Pharmacy
Facility Name WALGREENS #17554
Street 1736 OLD MORGANTON RD
City SOUTHERN PINES
State NC
ZIP 28387
Phone 910 692-7158
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2025
Certificate Expiration Date 5/9/2027
Facility Type Pharmacy
Lab Director KENNEDY L. LIEBERMAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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