34D2232346 CLIA NUMBER - WALGREENS #19937

Laboratory Demographics

  • CLIA Code: 34D2232346
  • Facility Name: WALGREENS #19937
  • Facility Address: 1485 RIVER RIDGE DRIVE
    CLEMMONS, NC
    ZIP 27012
  • Facility Phone: 336 712-8012
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CARINA C. MADZELAN
  • NPI Number: 1003334228
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2232346
LAB Type Pharmacy
Facility Name WALGREENS #19937
Street 1485 RIVER RIDGE DRIVE
City CLEMMONS
State NC
ZIP 27012
Phone 336 712-8012
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2025
Certificate Expiration Date 8/11/2027
Facility Type Pharmacy
Lab Director CARINA C. MADZELAN

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