34D2105732 CLIA NUMBER - PUBLIX PHARMACY #1490

Laboratory Demographics

  • CLIA Code: 34D2105732
  • Facility Name: PUBLIX PHARMACY #1490
  • Facility Address: 5015 WEDDINGTON ROAD
    CONCORD, NC
    ZIP 28027
  • Facility Phone: 704 795-7148
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALLISON M. BASSETT
  • NPI Number: 1174994925
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2105732
LAB Type Pharmacy
Facility Name PUBLIX PHARMACY #1490
Street 5015 WEDDINGTON ROAD
City CONCORD
State NC
ZIP 28027
Phone 704 795-7148
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2023
Certificate Expiration Date 12/1/2025
Facility Type Pharmacy
Lab Director ALLISON M. BASSETT

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