34D2023291 CLIA NUMBER - WALGREENS #04869

Laboratory Demographics

  • CLIA Code: 34D2023291
  • Facility Name: WALGREENS #04869
  • Facility Address: 3251 FREEDOM DR
    CHARLOTTE, NC
    ZIP 28208
  • Facility Phone: 704 399-3955
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KELLY P. GIANG
  • NPI Number: 1912912015
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D2023291
LAB Type Pharmacy
Facility Name WALGREENS #04869
Street 3251 FREEDOM DR
City CHARLOTTE
State NC
ZIP 28208
Phone 704 399-3955
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2025
Certificate Expiration Date 8/15/2027
Facility Type Pharmacy
Lab Director KELLY P. GIANG

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