34D2041274 CLIA NUMBER - WALGREENS #12484

Laboratory Demographics

  • CLIA Code: 34D2041274
  • Facility Name: WALGREENS #12484
  • Facility Address: 2700 S NC 127 HWY
    HICKORY, NC
    ZIP 28602
  • Facility Phone: 282 294-0058
  • Facility Type: Other - COVID-19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: DIANE R. TEDDER
  • NPI Number: 1093948184
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2041274
LAB Type Other - COVID-19 TEST SITE
Facility Name WALGREENS #12484
Street 2700 S NC 127 HWY
City HICKORY
State NC
ZIP 28602
Phone 282 294-0058
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2024
Certificate Expiration Date 12/15/2026
Facility Type Other - COVID-19 TEST SITE
Lab Director DIANE R. TEDDER

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