34D2231406 CLIA NUMBER - WALGREENS #17632

Laboratory Demographics

  • CLIA Code: 34D2231406
  • Facility Name: WALGREENS #17632
  • Facility Address: 2401 NORTH COLLEGE ROAD
    WILMINGTON, NC
    ZIP 28405
  • Facility Phone: 910 395-2214
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ILNE CARTER
  • NPI Number: 1477072478
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2231406
LAB Type Pharmacy
Facility Name WALGREENS #17632
Street 2401 NORTH COLLEGE ROAD
City WILMINGTON
State NC
ZIP 28405
Phone 910 395-2214
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2025
Certificate Expiration Date 8/2/2027
Facility Type Pharmacy
Lab Director ILNE CARTER

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