34D2293832 CLIA NUMBER - WALGREENS 17015

Laboratory Demographics

  • CLIA Code: 34D2293832
  • Facility Name: WALGREENS 17015
  • Facility Address: 4059 NC STATE HIGHWAY 105 S
    SUGAR MOUNTAIN, NC
    ZIP 28604
  • Facility Phone: 828 898-8971
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KATELYN B. RHONEY
  • NPI Number: 1164949764
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2293832
LAB Type Pharmacy
Facility Name WALGREENS 17015
Street 4059 NC STATE HIGHWAY 105 S
City SUGAR MOUNTAIN
State NC
ZIP 28604
Phone 828 898-8971
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2023
Certificate Expiration Date 11/14/2025
Facility Type Pharmacy
Lab Director KATELYN B. RHONEY

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