34D2015615 CLIA NUMBER - WALGREENS #06742

Laboratory Demographics

  • CLIA Code: 34D2015615
  • Facility Name: WALGREENS #06742
  • Facility Address: 2500 E FRANKLIN BLVD
    GASTONIA, NC
    ZIP 28056
  • Facility Phone: 704 867-2474
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RICHARD V. DAVIDOWITZ
  • NPI Number: 1205841301
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D2015615
LAB Type Pharmacy
Facility Name WALGREENS #06742
Street 2500 E FRANKLIN BLVD
City GASTONIA
State NC
ZIP 28056
Phone 704 867-2474
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2025
Certificate Expiration Date 3/25/2027
Facility Type Pharmacy
Lab Director RICHARD V. DAVIDOWITZ

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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