34D2290798 CLIA NUMBER - WALGREENS 16172

Laboratory Demographics

  • CLIA Code: 34D2290798
  • Facility Name: WALGREENS 16172
  • Facility Address: 808 E 5TH STREET
    TABOR CITY, NC
    ZIP 28463
  • Facility Phone: 910 653-3562
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMBER H. REAVES
  • NPI Number: 1376979229
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2290798
LAB Type Pharmacy
Facility Name WALGREENS 16172
Street 808 E 5TH STREET
City TABOR CITY
State NC
ZIP 28463
Phone 910 653-3562
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2023
Certificate Expiration Date 10/1/2025
Facility Type Pharmacy
Lab Director AMBER H. REAVES

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