34D2287544 CLIA NUMBER - WALGREENS 17560

Laboratory Demographics

  • CLIA Code: 34D2287544
  • Facility Name: WALGREENS 17560
  • Facility Address: 623 S STATE ST
    YADKINVILLE, NC
    ZIP 27055
  • Facility Phone: 336 679-8844
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CALVIN VANDERGRIFT
  • NPI Number: 1174041651
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2287544
LAB Type Pharmacy
Facility Name WALGREENS 17560
Street 623 S STATE ST
City YADKINVILLE
State NC
ZIP 27055
Phone 336 679-8844
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Pharmacy
Lab Director CALVIN VANDERGRIFT

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