34D2238925 CLIA NUMBER - WALGREENS #18121

Laboratory Demographics

  • CLIA Code: 34D2238925
  • Facility Name: WALGREENS #18121
  • Facility Address: 2400 LITTLE ROCK ROAD
    CHARLOTTE, NC
    ZIP 28214
  • Facility Phone: 704 394-6546
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHAD E. MATHEWS
  • NPI Number: 1316464647
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2238925
LAB Type Pharmacy
Facility Name WALGREENS #18121
Street 2400 LITTLE ROCK ROAD
City CHARLOTTE
State NC
ZIP 28214
Phone 704 394-6546
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 CHAD E. MATHEWS

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