34D2044677 CLIA NUMBER - WALGREENS #6480

Laboratory Demographics

  • CLIA Code: 34D2044677
  • Facility Name: WALGREENS #6480
  • Facility Address: 2800 W MALLARD CREEK CHURCH RD
    CHARLOTTE, NC
    ZIP 28262
  • Facility Phone: 704 549-1272
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MERCE J. WHITCOMBE
  • NPI Number: 1952318917
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2044677
LAB Type Pharmacy
Facility Name WALGREENS #6480
Street 2800 W MALLARD CREEK CHURCH RD
City CHARLOTTE
State NC
ZIP 28262
Phone 704 549-1272
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2025
Certificate Expiration Date 8/2/2027
Facility Type Pharmacy
Lab Director MERCE J. WHITCOMBE

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