34D2061017 CLIA NUMBER - WALGREENS #10253

Laboratory Demographics

  • CLIA Code: 34D2061017
  • Facility Name: WALGREENS #10253
  • Facility Address: 10 PITTS SCHOOL ROAD, SW
    CONCORD, NC
    ZIP 28027
  • Facility Phone: 704 795-0091
  • Facility Type: Health Fair
  • Facility Type: Waiver
  • Lab Director: MIKEL C. GIRARD
  • NPI Number: 1659426153
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2061017
LAB Type Health Fair
Facility Name WALGREENS #10253
Street 10 PITTS SCHOOL ROAD, SW
City CONCORD
State NC
ZIP 28027
Phone 704 795-0091
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2024
Certificate Expiration Date 12/15/2026
Facility Type Health Fair
Lab Director MIKEL C. GIRARD

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This page was last updated on: 3/20/2025