34D2053866 CLIA NUMBER - WALGREENS #15253

Laboratory Demographics

  • CLIA Code: 34D2053866
  • Facility Name: WALGREENS #15253
  • Facility Address: 525 N CANNON BLVD
    KANNAPOLIS, NC
    ZIP 28083
  • Facility Phone: 704 934-2048
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: IRA K. LOWMAN
  • NPI Number: 1831441419
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2053866
LAB Type Pharmacy
Facility Name WALGREENS #15253
Street 525 N CANNON BLVD
City KANNAPOLIS
State NC
ZIP 28083
Phone 704 934-2048
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/10/2025
Certificate Expiration Date 4/9/2027
Facility Type Pharmacy
Lab Director IRA K. LOWMAN

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