34D2238982 CLIA NUMBER - WALGREENS # 18115

Laboratory Demographics

  • CLIA Code: 34D2238982
  • Facility Name: WALGREENS # 18115
  • Facility Address: 1716 E BROAD ST
    STATESVILLE, NC
    ZIP 28625
  • Facility Phone: 704 872-8131
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: URVI P. KAPADIA
  • NPI Number: 1174042998
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2238982
LAB Type Pharmacy
Facility Name WALGREENS # 18115
Street 1716 E BROAD ST
City STATESVILLE
State NC
ZIP 28625
Phone 704 872-8131
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 URVI P. KAPADIA

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