34D2231603 CLIA NUMBER - WALGREENS #15568

Laboratory Demographics

CLIA Number: 34D2231603

Facility Name: WALGREENS #15568

Facility Address:
456 CONOVER BLVD W
CONOVER, NC
ZIP 28613
Get Directions

Facility Phone Number: 704 462-7068

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1972905560

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	34D2231603
LAB Type	Pharmacy
Facility Name	WALGREENS #15568
Street	456 CONOVER BLVD W
City	CONOVER
State	NC
ZIP	28613
Phone	704 462-7068
CertificateType	4
CertificateEffectiveDate	8/4/2023
CertificateExpirationDate	8/3/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024