34D2226747 CLIA NUMBER - WALGREENS #16149

Laboratory Demographics

  • CLIA Code: 34D2226747
  • Facility Name: WALGREENS #16149
  • Facility Address: 1050 S HORNER BLVD
    SANFORD, NC
    ZIP 27330
  • Facility Phone: 919 776-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HOUSTON LOGAN D. MAIN
  • NPI Number: 1003242959
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2226747
LAB Type Pharmacy
Facility Name WALGREENS #16149
Street 1050 S HORNER BLVD
City SANFORD
State NC
ZIP 27330
Phone 919 776-2727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2025
Certificate Expiration Date 6/2/2027
Facility Type Pharmacy
Lab Director HOUSTON LOGAN D. MAIN

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