34D2238905 CLIA NUMBER - WALGREENS #17641

Laboratory Demographics

  • CLIA Code: 34D2238905
  • Facility Name: WALGREENS #17641
  • Facility Address: 230 E PLAZA DR
    MOORESVILLE, NC
    ZIP 28115
  • Facility Phone: 704 662-6551
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KARIN E. TORRES
  • NPI Number: 1619493673
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2238905
LAB Type Pharmacy
Facility Name WALGREENS #17641
Street 230 E PLAZA DR
City MOORESVILLE
State NC
ZIP 28115
Phone 704 662-6551
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2025
Certificate Expiration Date 10/6/2027
Facility Type Pharmacy
Lab Director KARIN E. TORRES

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