34D2239186 CLIA NUMBER - WALGREENS #17901

Laboratory Demographics

  • CLIA Code: 34D2239186
  • Facility Name: WALGREENS #17901
  • Facility Address: 650 S MAIN ST
    KING, NC
    ZIP 27021
  • Facility Phone: (336) 983-2186
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AUSTIN A. CHILDRESS
  • NPI Number: 1134646680
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2239186
LAB Type Pharmacy
Facility Name WALGREENS #17901
Street 650 S MAIN ST
City KING
State NC
ZIP 27021
Phone 3369832186
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2025
Certificate Expiration Date 10/10/2027
Facility Type Pharmacy
Lab Director AUSTIN A. CHILDRESS

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This page was last updated on: 5/18/2026