34D2231058 CLIA NUMBER - WALGREENS #19646

Laboratory Demographics

  • CLIA Code: 34D2231058
  • Facility Name: WALGREENS #19646
  • Facility Address: 7115 EAST WT HARRIS BOULEVARD
    CHARLOTTE, NC
    ZIP 28227
  • Facility Phone: 704 567-0017
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MYLIEN T. TRUONG
  • NPI Number: 1912425646
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2231058
LAB Type Pharmacy
Facility Name WALGREENS #19646
Street 7115 EAST WT HARRIS BOULEVARD
City CHARLOTTE
State NC
ZIP 28227
Phone 704 567-0017
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 MYLIEN T. TRUONG

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