34D2015616 CLIA NUMBER - WALGREENS #04870

Laboratory Demographics

  • CLIA Code: 34D2015616
  • Facility Name: WALGREENS #04870
  • Facility Address: 735 CABARRUS AVE W
    CONCORD, NC
    ZIP 28027
  • Facility Phone: 704 723-9463
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HEIDI TARTAL
  • NPI Number: 1821003922
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2015616
LAB Type Pharmacy
Facility Name WALGREENS #04870
Street 735 CABARRUS AVE W
City CONCORD
State NC
ZIP 28027
Phone 704 723-9463
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2023
Certificate Expiration Date 12/18/2025
Facility Type Pharmacy
Lab Director HEIDI TARTAL

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