34D2223812 CLIA NUMBER - WALGREENS #11201

Laboratory Demographics

CLIA Number: 34D2223812

Facility Name: WALGREENS #11201

Facility Address:
1209 N BRIDGE ST
ELKIN, NC
ZIP 28621
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Facility Phone Number: 336 526-0011

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1467622357

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	34D2223812
LAB Type	Pharmacy
Facility Name	WALGREENS #11201
Street	1209 N BRIDGE ST
City	ELKIN
State	NC
ZIP	28621
Phone	336 526-0011
CertificateType	4
CertificateEffectiveDate	5/10/2023
CertificateExpirationDate	5/9/2025
FacilityType	Waiver

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