34D2231474 CLIA NUMBER - WALGREENS #09558

Laboratory Demographics

  • CLIA Code: 34D2231474
  • Facility Name: WALGREENS #09558
  • Facility Address: 2795 LEWISVILLE CLEMMONS RD
    CLEMMONS, NC
    ZIP 27012
  • Facility Phone: 336 778-2452
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MONICA L. PIPES
  • NPI Number: 1477568566
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2231474
LAB Type Pharmacy
Facility Name WALGREENS #09558
Street 2795 LEWISVILLE CLEMMONS RD
City CLEMMONS
State NC
ZIP 27012
Phone 336 778-2452
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 MONICA L. PIPES

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