34D2222734 CLIA NUMBER - WALGREENS #02700

Laboratory Demographics

  • CLIA Code: 34D2222734
  • Facility Name: WALGREENS #02700
  • Facility Address: 1993 DICKERSON BLVD
    MONROE, NC
    ZIP 28110
  • Facility Phone: 704 296-5080
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DERRICK L. PIERCE
  • NPI Number: 1922013002
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2222734
LAB Type Pharmacy
Facility Name WALGREENS #02700
Street 1993 DICKERSON BLVD
City MONROE
State NC
ZIP 28110
Phone 704 296-5080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2025
Certificate Expiration Date 4/29/2027
Facility Type Pharmacy
Lab Director DERRICK L. PIERCE

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