34D2240142 CLIA NUMBER - WALGREENS # 16130

Laboratory Demographics

  • CLIA Code: 34D2240142
  • Facility Name: WALGREENS # 16130
  • Facility Address: 11 US HIGHWAY 64 E
    PLYMOUTH, NC
    ZIP 27962
  • Facility Phone: 252 793-1175
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RYAN M. GARNER
  • NPI Number: 1306272828
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2240142
LAB Type Pharmacy
Facility Name WALGREENS # 16130
Street 11 US HIGHWAY 64 E
City PLYMOUTH
State NC
ZIP 27962
Phone 252 793-1175
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2025
Certificate Expiration Date 10/17/2027
Facility Type Pharmacy
Lab Director RYAN M. GARNER

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