34D2238962 CLIA NUMBER - WALGREENS # 17900

Laboratory Demographics

  • CLIA Code: 34D2238962
  • Facility Name: WALGREENS # 17900
  • Facility Address: 3465 SOUTH CHURCH STREET
    BURLINGTON, NC
    ZIP 27215
  • Facility Phone: 336 584-3374
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CRYSTAL DEAN-SMITH
  • NPI Number: 1932628872
  • Taxonomy: 333600000X - Pharmacy

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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
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 CRYSTAL DEAN-SMITH

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This page was last updated on: 6/4/2025