34D2238914 CLIA NUMBER - WALGREENS # 17067

Laboratory Demographics

  • CLIA Code: 34D2238914
  • Facility Name: WALGREENS # 17067
  • Facility Address: 250 IVEY LN
    PINEHURST, NC
    ZIP 28374
  • Facility Phone: 910 215-9777
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JORDAN R. WOOD
  • NPI Number: 1306363486
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2238914
LAB Type Pharmacy
Facility Name WALGREENS # 17067
Street 250 IVEY LN
City PINEHURST
State NC
ZIP 28374
Phone 910 215-9777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2025
Certificate Expiration Date 10/6/2027
Facility Type Pharmacy
Lab Director JORDAN R. WOOD

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