34D2239667 CLIA NUMBER - WALGREENS #17880

Laboratory Demographics

  • CLIA Code: 34D2239667
  • Facility Name: WALGREENS #17880
  • Facility Address: 508 N US 29 HWY
    CHINA GROVE, NC
    ZIP 28023
  • Facility Phone: 704 857-0116
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARY A. SPOLARICH
  • NPI Number: 1649799529
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2239667
LAB Type Pharmacy
Facility Name WALGREENS #17880
Street 508 N US 29 HWY
City CHINA GROVE
State NC
ZIP 28023
Phone 704 857-0116
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2025
Certificate Expiration Date 10/12/2027
Facility Type Pharmacy
Lab Director MARY A. SPOLARICH

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