34D2231463 CLIA NUMBER - WALGREENS #06479

Laboratory Demographics

  • CLIA Code: 34D2231463
  • Facility Name: WALGREENS #06479
  • Facility Address: 1220 MATTHEWS TOWNSHIP PKWY
    MATTHEWS, NC
    ZIP 28105
  • Facility Phone: 704 814-9487
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SOMALY S. KIEN
  • NPI Number: 1275671703
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2231463
LAB Type Pharmacy
Facility Name WALGREENS #06479
Street 1220 MATTHEWS TOWNSHIP PKWY
City MATTHEWS
State NC
ZIP 28105
Phone 704 814-9487
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2025
Certificate Expiration Date 8/2/2027
Facility Type Pharmacy
Lab Director SOMALY S. KIEN

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