34D2291020 CLIA NUMBER - WALGREENS 17348

Laboratory Demographics

  • CLIA Code: 34D2291020
  • Facility Name: WALGREENS 17348
  • Facility Address: 685 E MAIN ST
    JEFFERSON, NC
    ZIP 28640
  • Facility Phone: 336 246-9111
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THERESA L. FERGUSON
  • NPI Number: 1538688387
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2291020
LAB Type Pharmacy
Facility Name WALGREENS 17348
Street 685 E MAIN ST
City JEFFERSON
State NC
ZIP 28640
Phone 336 246-9111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2025
Certificate Expiration Date 10/3/2027
Facility Type Pharmacy
Lab Director THERESA L. FERGUSON

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