34D2231368 CLIA NUMBER - WALGREENS #17368

Laboratory Demographics

  • CLIA Code: 34D2231368
  • Facility Name: WALGREENS #17368
  • Facility Address: 617 HIGHLAND STREET
    MOUNT HOLLY, NC
    ZIP 28120
  • Facility Phone: 704 827-6005
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THOA K. LY
  • NPI Number: 1376062380
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2231368
LAB Type Pharmacy
Facility Name WALGREENS #17368
Street 617 HIGHLAND STREET
City MOUNT HOLLY
State NC
ZIP 28120
Phone 704 827-6005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2023
Certificate Expiration Date 8/2/2025
Facility Type Pharmacy
Lab Director THOA K. LY

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