34D2227930 CLIA NUMBER - WALGREENS #15487

Laboratory Demographics

  • CLIA Code: 34D2227930
  • Facility Name: WALGREENS #15487
  • Facility Address: 3205 AVENT FERRY RD
    RALEIGH, NC
    ZIP 27606
  • Facility Phone: 919 833-5531
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFFREY I. LISS
  • NPI Number: 1386070233
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2227930
LAB Type Pharmacy
Facility Name WALGREENS #15487
Street 3205 AVENT FERRY RD
City RALEIGH
State NC
ZIP 27606
Phone 919 833-5531
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2025
Certificate Expiration Date 6/17/2027
Facility Type Pharmacy
Lab Director JEFFREY I. LISS

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