34D1086680 CLIA NUMBER - WALGREENS #07699

Laboratory Demographics

  • CLIA Code: 34D1086680
  • Facility Name: WALGREENS #07699
  • Facility Address: 1495 CONCORD PKWY N
    CONCORD, NC
    ZIP 28025
  • Facility Phone: 704 786-3411
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PUJA BHALODI
  • NPI Number: 1033256474
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D1086680
LAB Type Pharmacy
Facility Name WALGREENS #07699
Street 1495 CONCORD PKWY N
City CONCORD
State NC
ZIP 28025
Phone 704 786-3411
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2025
Certificate Expiration Date 4/12/2027
Facility Type Pharmacy
Lab Director PUJA BHALODI

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