34D2205989 CLIA NUMBER - WALGREENS #17660

Laboratory Demographics

  • CLIA Code: 34D2205989
  • Facility Name: WALGREENS #17660
  • Facility Address: 12830 S TRYON STREET
    CHARLOTTE, NC
    ZIP 28273
  • Facility Phone: 231 225-2760
  • Facility Type: Other - COVID-19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: JOHN S. BUTER
  • NPI Number: 1902325830
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2205989
LAB Type Other - COVID-19 TEST SITE
Facility Name WALGREENS #17660
Street 12830 S TRYON STREET
City CHARLOTTE
State NC
ZIP 28273
Phone 231 225-2760
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 Other - COVID-19 TEST SITE
Lab Director JOHN S. BUTER

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