34D2184399 CLIA NUMBER - LAX COTSWOLD, LLC DBA WALKERS DRUG STORE

Laboratory Demographics

  • CLIA Code: 34D2184399
  • Facility Name: LAX COTSWOLD, LLC DBA WALKERS DRUG STORE
  • Facility Address: 4390 COLWICK ROAD
    CHARLOTTE, NC
    ZIP 28211
  • Facility Phone: 704 364-3444
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VIPUL PATEL
  • NPI Number: 1396800710
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2184399
LAB Type Pharmacy
Facility Name LAX COTSWOLD, LLC DBA WALKERS DRUG STORE
Street 4390 COLWICK ROAD
City CHARLOTTE
State NC
ZIP 28211
Phone 704 364-3444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2024
Certificate Expiration Date 5/18/2026
Facility Type Pharmacy
Lab Director VIPUL PATEL

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