34D2039271 CLIA NUMBER - WALGREENS #1051

Laboratory Demographics

  • CLIA Code: 34D2039271
  • Facility Name: WALGREENS #1051
  • Facility Address: 4577 MAIN ST
    SHALLOTTE, NC
    ZIP 28470
  • Facility Phone: 910 755-5953
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JULIA A. EVANS
  • NPI Number: 1275769481
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2039271
LAB Type Pharmacy
Facility Name WALGREENS #1051
Street 4577 MAIN ST
City SHALLOTTE
State NC
ZIP 28470
Phone 910 755-5953
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/23/2025
Certificate Expiration Date 3/22/2027
Facility Type Pharmacy
Lab Director JULIA A. EVANS

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