34D2041657 CLIA NUMBER - WALGREENS #11396

Laboratory Demographics

  • CLIA Code: 34D2041657
  • Facility Name: WALGREENS #11396
  • Facility Address: 2200 W SUGAR CREEK RD
    CHARLOTTE, NC
    ZIP 28262
  • Facility Phone: 704 494-4878
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NAPPAYE B. HAILEY
  • NPI Number: 1326378332
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2041657
LAB Type Pharmacy
Facility Name WALGREENS #11396
Street 2200 W SUGAR CREEK RD
City CHARLOTTE
State NC
ZIP 28262
Phone 704 494-4878
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2025
Certificate Expiration Date 4/28/2027
Facility Type Pharmacy
Lab Director NAPPAYE B. HAILEY

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