34D2238954 CLIA NUMBER - WALGREENS # 17971

Laboratory Demographics

  • CLIA Code: 34D2238954
  • Facility Name: WALGREENS # 17971
  • Facility Address: 1505 BROAD STREET
    DURHAM, NC
    ZIP 27705
  • Facility Phone: 919 286-4431
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LINA W. SULEIMAN
  • NPI Number: 1376062273
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2238954
LAB Type Pharmacy
Facility Name WALGREENS # 17971
Street 1505 BROAD STREET
City DURHAM
State NC
ZIP 27705
Phone 919 286-4431
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2023
Certificate Expiration Date 10/6/2025
Facility Type Pharmacy
Lab Director LINA W. SULEIMAN

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