34D2240233 CLIA NUMBER - WALGREENS #16161

Laboratory Demographics

  • CLIA Code: 34D2240233
  • Facility Name: WALGREENS #16161
  • Facility Address: 414 N WALNUT ST
    FAIRMONT, NC
    ZIP 28340
  • Facility Phone: (910) 628-6068
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BEVERLY D. WEST
  • NPI Number: 1235565755
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2240233
LAB Type Pharmacy
Facility Name WALGREENS #16161
Street 414 N WALNUT ST
City FAIRMONT
State NC
ZIP 28340
Phone 9106286068
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 BEVERLY D. WEST

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