34D2235696 CLIA NUMBER - WALGREENS #16120

Laboratory Demographics

  • CLIA Code: 34D2235696
  • Facility Name: WALGREENS #16120
  • Facility Address: 533 N MAIN ST
    TROUTMAN, NC
    ZIP 28166
  • Facility Phone: 704 528-0043
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DARRYL L. BOOKER II
  • NPI Number: 1477989044
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2235696
LAB Type Pharmacy
Facility Name WALGREENS #16120
Street 533 N MAIN ST
City TROUTMAN
State NC
ZIP 28166
Phone 704 528-0043
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/10/2025
Certificate Expiration Date 9/9/2027
Facility Type Pharmacy
Lab Director DARRYL L. BOOKER II

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