34D2287522 CLIA NUMBER - WALGREENS 19942

Laboratory Demographics

  • CLIA Code: 34D2287522
  • Facility Name: WALGREENS 19942
  • Facility Address: 509 WEST WHITAKER MILL ROAD
    RALEIGH, NC
    ZIP 27608
  • Facility Phone: 919 546-9664
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PAULA M. DIETRICH
  • NPI Number: 1174041545
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2287522
LAB Type Pharmacy
Facility Name WALGREENS 19942
Street 509 WEST WHITAKER MILL ROAD
City RALEIGH
State NC
ZIP 27608
Phone 919 546-9664
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2023
Certificate Expiration Date 8/14/2025
Facility Type Pharmacy
Lab Director PAULA M. DIETRICH

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This page was last updated on: 3/20/2025