34D2231434 CLIA NUMBER - WALGREENS #16158

Laboratory Demographics

  • CLIA Code: 34D2231434
  • Facility Name: WALGREENS #16158
  • Facility Address: 206 US HIGHWAY 117 S
    BURGAW, NC
    ZIP 28425
  • Facility Phone: (910) 259-2514
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTA L. RIVENBARK
  • NPI Number: 1821424771
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2231434
LAB Type Pharmacy
Facility Name WALGREENS #16158
Street 206 US HIGHWAY 117 S
City BURGAW
State NC
ZIP 28425
Phone 9102592514
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 KRISTA L. RIVENBARK

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This page was last updated on: 5/18/2026