34D2234683 CLIA NUMBER - WALGREENS #17919

Laboratory Demographics

  • CLIA Code: 34D2234683
  • Facility Name: WALGREENS #17919
  • Facility Address: 1900 CAMERON ST
    RALEIGH, NC
    ZIP 27605
  • Facility Phone: 919 833-5523
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DUYBICH T. VO
  • NPI Number: 1124545298
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2234683
LAB Type Pharmacy
Facility Name WALGREENS #17919
Street 1900 CAMERON ST
City RALEIGH
State NC
ZIP 27605
Phone 919 833-5523
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2025
Certificate Expiration Date 9/1/2027
Facility Type Pharmacy
Lab Director DUYBICH T. VO

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