34D2291156 CLIA NUMBER - WALGREENS # 17623

Laboratory Demographics

  • CLIA Code: 34D2291156
  • Facility Name: WALGREENS # 17623
  • Facility Address: 2416 RANDLEMAN ROAD
    GREENSBORO, NC
    ZIP 27406
  • Facility Phone: 336 274-0983
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NIKUNJ H. PATEL
  • NPI Number: 1427577246
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2291156
LAB Type Pharmacy
Facility Name WALGREENS # 17623
Street 2416 RANDLEMAN ROAD
City GREENSBORO
State NC
ZIP 27406
Phone 336 274-0983
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 NIKUNJ H. PATEL

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