34D2223812 CLIA NUMBER - WALGREENS #11201

Laboratory Demographics

  • CLIA Code: 34D2223812
  • Facility Name: WALGREENS #11201
  • Facility Address: 1209 N BRIDGE ST
    ELKIN, NC
    ZIP 28621
  • Facility Phone: 336 526-0011
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GERARD M. MUNROE
  • NPI Number: 1467622357
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2223812
LAB Type Pharmacy
Facility Name WALGREENS #11201
Street 1209 N BRIDGE ST
City ELKIN
State NC
ZIP 28621
Phone 336 526-0011
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 GERARD M. MUNROE

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