34D2287452 CLIA NUMBER - WALGREENS 19220

Laboratory Demographics

  • CLIA Code: 34D2287452
  • Facility Name: WALGREENS 19220
  • Facility Address: 3345 PINEVILLE MATTHEWS ROAD
    CHARLOTTE, NC
    ZIP 28226
  • Facility Phone: 704 543-6055
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANGELA M. SMETAK
  • NPI Number: 1760900658
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2287452
LAB Type Pharmacy
Facility Name WALGREENS 19220
Street 3345 PINEVILLE MATTHEWS ROAD
City CHARLOTTE
State NC
ZIP 28226
Phone 704 543-6055
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 ANGELA M. SMETAK

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