34D2231043 CLIA NUMBER - WALGREENS#19943

Laboratory Demographics

  • CLIA Code: 34D2231043
  • Facility Name: WALGREENS#19943
  • Facility Address: 2465 S NEW HOPE RD
    GASTONIA, NC
    ZIP 28054
  • Facility Phone: 704 810-9912
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THUYTIEN MAI TRAN
  • NPI Number: 1376061507
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2231043
LAB Type Pharmacy
Facility Name WALGREENS#19943
Street 2465 S NEW HOPE RD
City GASTONIA
State NC
ZIP 28054
Phone 704 810-9912
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2025
Certificate Expiration Date 7/28/2027
Facility Type Pharmacy
Lab Director THUYTIEN MAI TRAN

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