34D2060428 CLIA NUMBER - WALGREENS #10891

Laboratory Demographics

  • CLIA Code: 34D2060428
  • Facility Name: WALGREENS #10891
  • Facility Address: 231 E DIXON BLVD
    SHELBY, NC
    ZIP 28152
  • Facility Phone: 704 481-8557
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VISESH VELAGAPUDI
  • NPI Number: 1083882377
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2060428
LAB Type Pharmacy
Facility Name WALGREENS #10891
Street 231 E DIXON BLVD
City SHELBY
State NC
ZIP 28152
Phone 704 481-8557
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2025
Certificate Expiration Date 8/3/2027
Facility Type Pharmacy
Lab Director VISESH VELAGAPUDI

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