34D2044378 CLIA NUMBER - WALGREENS #9084

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Laboratory Demographics

CLIA Number: 34D2044378

Facility Name: WALGREENS #9084

Facility Address:
3431 MATTHEWS MINT HILL RD
MATTHEWS, NC
ZIP 28105
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Facility Phone Number: 704 844-8908

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1649285727

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	34D2044378
LAB Type	Pharmacy
Facility Name	WALGREENS #9084
Street	3431 MATTHEWS MINT HILL RD
City	MATTHEWS
State	NC
ZIP	28105
Phone	704 844-8908
CertificateType	4
CertificateEffectiveDate	10/5/2023
CertificateExpirationDate	10/4/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024