34D2240767 CLIA NUMBER - WALGREENS #19152

Laboratory Demographics

  • CLIA Code: 34D2240767
  • Facility Name: WALGREENS #19152
  • Facility Address: 1700 BATTLEGROUND AVE
    GREENSBORO, NC
    ZIP 27408
  • Facility Phone: 336 574-1599
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROBERT J. DICKEN
  • NPI Number: 1518486422
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2240767
LAB Type Pharmacy
Facility Name WALGREENS #19152
Street 1700 BATTLEGROUND AVE
City GREENSBORO
State NC
ZIP 27408
Phone 336 574-1599
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2023
Certificate Expiration Date 10/21/2025
Facility Type Pharmacy
Lab Director ROBERT J. DICKEN

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