34D2012985 CLIA NUMBER - WALGREENS #11692

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Laboratory Demographics

CLIA Number: 34D2012985

Facility Name: WALGREENS #11692

Facility Address:
500 FINCHER STREET
MONROE, NC
ZIP 28112
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Facility Phone Number: 704 225-9010

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1033349345

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	34D2012985
LAB Type	Pharmacy
Facility Name	WALGREENS #11692
Street	500 FINCHER STREET
City	MONROE
State	NC
ZIP	28112
Phone	704 225-9010
CertificateType	4
CertificateEffectiveDate	8/17/2023
CertificateExpirationDate	8/16/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024