34D2234348 CLIA NUMBER - WALGREENS #09635

Laboratory Demographics

  • CLIA Code: 34D2234348
  • Facility Name: WALGREENS #09635
  • Facility Address: 3101 NEW BERN AVENUE
    RALEIGH, NC
    ZIP 27610
  • Facility Phone: 919 231-5074
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELYN E. BENNETT
  • NPI Number: 1326245176
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2234348
LAB Type Pharmacy
Facility Name WALGREENS #09635
Street 3101 NEW BERN AVENUE
City RALEIGH
State NC
ZIP 27610
Phone 919 231-5074
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/31/2025
Certificate Expiration Date 8/30/2027
Facility Type Pharmacy
Lab Director JACQUELYN E. BENNETT

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