34D2053335 CLIA NUMBER - WALGREENS #09184

Laboratory Demographics

  • CLIA Code: 34D2053335
  • Facility Name: WALGREENS #09184
  • Facility Address: 11200 PROVIDENCE RD W
    CHARLOTTE, NC
    ZIP 28277
  • Facility Phone: 704 815-3341
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PETER A. DAPICE
  • NPI Number: 1114229846
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2053335
LAB Type Pharmacy
Facility Name WALGREENS #09184
Street 11200 PROVIDENCE RD W
City CHARLOTTE
State NC
ZIP 28277
Phone 704 815-3341
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2025
Certificate Expiration Date 6/30/2027
Facility Type Pharmacy
Lab Director PETER A. DAPICE

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