34D2041610 CLIA NUMBER - WALGREENS #11266

Laboratory Demographics

  • CLIA Code: 34D2041610
  • Facility Name: WALGREENS #11266
  • Facility Address: 19631 W CATAWBA AVE
    CORNELIUS, NC
    ZIP 28031
  • Facility Phone: 704 895-1342
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WHITNEY PALAZZI
  • NPI Number: 1942430343
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2041610
LAB Type Pharmacy
Facility Name WALGREENS #11266
Street 19631 W CATAWBA AVE
City CORNELIUS
State NC
ZIP 28031
Phone 704 895-1342
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Pharmacy
Lab Director WHITNEY PALAZZI

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