34D2223809 CLIA NUMBER - WALGREENS #16171

Laboratory Demographics

  • CLIA Code: 34D2223809
  • Facility Name: WALGREENS #16171
  • Facility Address: 419 W BROAD ST
    SAINT PAULS, NC
    ZIP 28384
  • Facility Phone: 910 865-1242
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RAD B. PATEL
  • NPI Number: 1467888990
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2223809
LAB Type Pharmacy
Facility Name WALGREENS #16171
Street 419 W BROAD ST
City SAINT PAULS
State NC
ZIP 28384
Phone 910 865-1242
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 RAD B. PATEL

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