34D2238962 CLIA NUMBER - WALGREENS # 17900

Laboratory Demographics

CLIA Number: 34D2238962

Facility Name: WALGREENS # 17900

Facility Address:
3465 SOUTH CHURCH STREET
BURLINGTON, NC
ZIP 27215
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Facility Phone Number: 336 584-3374

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1932628872

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	34D2238962
LAB Type	Pharmacy
Facility Name	WALGREENS # 17900
Street	3465 SOUTH CHURCH STREET
City	BURLINGTON
State	NC
ZIP	27215
Phone	336 584-3374
CertificateType	4
CertificateEffectiveDate	10/7/2023
CertificateExpirationDate	10/6/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024