34D0975780 CLIA NUMBER - WALGREENS #4843

Laboratory Demographics

  • CLIA Code: 34D0975780
  • Facility Name: WALGREENS #4843
  • Facility Address: 6802 W WILKINSON BLVD
    BELMONT, NC
    ZIP 28012
  • Facility Phone: 704 829-5681
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRIAN K. MASON
  • NPI Number: 1730194838
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D0975780
LAB Type Pharmacy
Facility Name WALGREENS #4843
Street 6802 W WILKINSON BLVD
City BELMONT
State NC
ZIP 28012
Phone 704 829-5681
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2025
Certificate Expiration Date 1/31/2027
Facility Type Pharmacy
Lab Director BRIAN K. MASON

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