34D2287617 CLIA NUMBER - WALGREENS 16150

Laboratory Demographics

  • CLIA Code: 34D2287617
  • Facility Name: WALGREENS 16150
  • Facility Address: 126 E MACON ST
    WARRENTON, NC
    ZIP 27589
  • Facility Phone: 252 257-2922
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PAULOS KESETE
  • NPI Number: 1477989077
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2287617
LAB Type Pharmacy
Facility Name WALGREENS 16150
Street 126 E MACON ST
City WARRENTON
State NC
ZIP 27589
Phone 252 257-2922
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2025
Certificate Expiration Date 8/15/2027
Facility Type Pharmacy
Lab Director PAULOS KESETE

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