34D2041820 CLIA NUMBER - WALGREENS #10275

Laboratory Demographics

  • CLIA Code: 34D2041820
  • Facility Name: WALGREENS #10275
  • Facility Address: 5040 BEATTIES FORD ROAD
    CHARLOTTE, NC
    ZIP 28216
  • Facility Phone: 704 394-1714
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SCOTT ROMESBURG
  • NPI Number: 1831380971
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2041820
LAB Type Pharmacy
Facility Name WALGREENS #10275
Street 5040 BEATTIES FORD ROAD
City CHARLOTTE
State NC
ZIP 28216
Phone 704 394-1714
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/27/2024
Certificate Expiration Date 5/26/2026
Facility Type Pharmacy
Lab Director SCOTT ROMESBURG

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