34D2287637 CLIA NUMBER - WALGREENS 06812

Laboratory Demographics

  • CLIA Code: 34D2287637
  • Facility Name: WALGREENS 06812
  • Facility Address: 3701 W GATE CITY BLVD
    GREENSBORO, NC
    ZIP 27407
  • Facility Phone: 336 315-8672
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HOUSTON L. MAIN
  • NPI Number: 1750398756
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2287637
LAB Type Pharmacy
Facility Name WALGREENS 06812
Street 3701 W GATE CITY BLVD
City GREENSBORO
State NC
ZIP 27407
Phone 336 315-8672
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2023
Certificate Expiration Date 8/15/2025
Facility Type Pharmacy
Lab Director HOUSTON L. MAIN

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This page was last updated on: 6/4/2025