34D2053338 CLIA NUMBER - WALGREENS #15008

Laboratory Demographics

  • CLIA Code: 34D2053338
  • Facility Name: WALGREENS #15008
  • Facility Address: 101 S TRYON ST #22
    CHARLOTTE, NC
    ZIP 28280
  • Facility Phone: 704 334-6262
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TRACY J. MULLEN
  • NPI Number: 1831454040
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2053338
LAB Type Pharmacy
Facility Name WALGREENS #15008
Street 101 S TRYON ST #22
City CHARLOTTE
State NC
ZIP 28280
Phone 704 334-6262
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2025
Certificate Expiration Date 8/17/2027
Facility Type Pharmacy
Lab Director TRACY J. MULLEN

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