34D2060292 CLIA NUMBER - WALGREENS #5877

Laboratory Demographics

  • CLIA Code: 34D2060292
  • Facility Name: WALGREENS #5877
  • Facility Address: 1902 W FRANKLIN BLVD
    GASTONIA, NC
    ZIP 28052
  • Facility Phone: (704) 864-4590
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KATIE L. COURNOYER
  • NPI Number: 1376558478
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2060292
LAB Type Pharmacy
Facility Name WALGREENS #5877
Street 1902 W FRANKLIN BLVD
City GASTONIA
State NC
ZIP 28052
Phone 7048644590
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/23/2025
Certificate Expiration Date 11/22/2027
Facility Type Pharmacy
Lab Director KATIE L. COURNOYER

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This page was last updated on: 5/18/2026