34D2245467 CLIA NUMBER - WALGREENS # 12350

Laboratory Demographics

  • CLIA Code: 34D2245467
  • Facility Name: WALGREENS # 12350
  • Facility Address: 5455 POTTERS RD
    STALLINGS, NC
    ZIP 28104
  • Facility Phone: 704 821-0411
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PRASHANT D. PATEL
  • NPI Number: 1144452640
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2245467
LAB Type Pharmacy
Facility Name WALGREENS # 12350
Street 5455 POTTERS RD
City STALLINGS
State NC
ZIP 28104
Phone 704 821-0411
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2023
Certificate Expiration Date 12/12/2025
Facility Type Pharmacy
Lab Director PRASHANT D. PATEL

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