34D2291134 CLIA NUMBER - WALGREENS 19935

Laboratory Demographics

  • CLIA Code: 34D2291134
  • Facility Name: WALGREENS 19935
  • Facility Address: 1601 CROSS LINK ROAD
    RALEIGH, NC
    ZIP 27610
  • Facility Phone: 919 821-1407
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GREGORY R. PHILLIPS
  • NPI Number: 1477071694
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2291134
LAB Type Pharmacy
Facility Name WALGREENS 19935
Street 1601 CROSS LINK ROAD
City RALEIGH
State NC
ZIP 27610
Phone 919 821-1407
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2025
Certificate Expiration Date 10/4/2027
Facility Type Pharmacy
Lab Director GREGORY R. PHILLIPS

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