34D2231939 CLIA NUMBER - WALGREENS #17292

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Laboratory Demographics

CLIA Number: 34D2231939

Facility Name: WALGREENS #17292

Facility Address:
1170 E MARION ST
SHELBY, NC
ZIP 28150
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Facility Phone Number: 704 487-7221

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1548787419

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	34D2231939
LAB Type	Pharmacy
Facility Name	WALGREENS #17292
Street	1170 E MARION ST
City	SHELBY
State	NC
ZIP	28150
Phone	704 487-7221
CertificateType	4
CertificateEffectiveDate	8/9/2023
CertificateExpirationDate	8/8/2025
FacilityType	Waiver

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