34D2205990 CLIA NUMBER - WALGREENS #19992

Laboratory Demographics

  • CLIA Code: 34D2205990
  • Facility Name: WALGREENS #19992
  • Facility Address: 205 SALISBURY AVENUE
    ALBEMARLE, NC
    ZIP 28001
  • Facility Phone: 704 982-1145
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MATTHEW A. SMITH
  • NPI Number: 1083132211
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2205990
LAB Type Pharmacy
Facility Name WALGREENS #19992
Street 205 SALISBURY AVENUE
City ALBEMARLE
State NC
ZIP 28001
Phone 704 982-1145
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 Pharmacy
Lab Director MATTHEW A. SMITH

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