34D2231567 CLIA NUMBER - WALGREENS #19877

Laboratory Demographics

  • CLIA Code: 34D2231567
  • Facility Name: WALGREENS #19877
  • Facility Address: 10020 PINEVILLE MATTHEWS ROAD
    PINEVILLE, NC
    ZIP 28134
  • Facility Phone: 704 889-2029
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NANDKISHOR S. KALE
  • NPI Number: 1487172961
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2231567
LAB Type Pharmacy
Facility Name WALGREENS #19877
Street 10020 PINEVILLE MATTHEWS ROAD
City PINEVILLE
State NC
ZIP 28134
Phone 704 889-2029
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2025
Certificate Expiration Date 8/3/2027
Facility Type Pharmacy
Lab Director NANDKISHOR S. KALE

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