34D2231603 CLIA NUMBER - WALGREENS #15568

Laboratory Demographics

  • CLIA Code: 34D2231603
  • Facility Name: WALGREENS #15568
  • Facility Address: 456 CONOVER BLVD W
    CONOVER, NC
    ZIP 28613
  • Facility Phone: 704 462-7068
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFER A. MCCANDLESS
  • NPI Number: 1972905560
  • Taxonomy: 333600000X - Pharmacy

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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
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 JENNIFER A. MCCANDLESS

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