34D2064902 CLIA NUMBER - WALGREENS #7859

Laboratory Demographics

  • CLIA Code: 34D2064902
  • Facility Name: WALGREENS #7859
  • Facility Address: 2975 UNION ROAD
    GASTONIA, NC
    ZIP 28054
  • Facility Phone: 704 867-6957
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUBODH A. UNGAYAT
  • NPI Number: 1013922012
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2064902
LAB Type Pharmacy
Facility Name WALGREENS #7859
Street 2975 UNION ROAD
City GASTONIA
State NC
ZIP 28054
Phone 704 867-6957
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2025
Certificate Expiration Date 10/4/2027
Facility Type Pharmacy
Lab Director SUBODH A. UNGAYAT

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