34D2287450 CLIA NUMBER - WALGREENS 17234

Laboratory Demographics

  • CLIA Code: 34D2287450
  • Facility Name: WALGREENS 17234
  • Facility Address: 21500 CATAWBA AVE
    CORNELIUS, NC
    ZIP 28031
  • Facility Phone: 704 655-1991
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EILEEN MARY RAINESS
  • NPI Number: 1750808622
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2287450
LAB Type Pharmacy
Facility Name WALGREENS 17234
Street 21500 CATAWBA AVE
City CORNELIUS
State NC
ZIP 28031
Phone 704 655-1991
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Pharmacy
Lab Director EILEEN MARY RAINESS

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