34D2290179 CLIA NUMBER - WALGREENS 17014

Laboratory Demographics

  • CLIA Code: 34D2290179
  • Facility Name: WALGREENS 17014
  • Facility Address: 3534 MT HOLLY-HUNTERSVILLE RD
    CHARLOTTE, NC
    ZIP 28216
  • Facility Phone: 704 399-5823
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFFCEY MUMFORD
  • NPI Number: 1518483635
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D2290179
LAB Type Pharmacy
Facility Name WALGREENS 17014
Street 3534 MT HOLLY-HUNTERSVILLE RD
City CHARLOTTE
State NC
ZIP 28216
Phone 704 399-5823
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2025
Certificate Expiration Date 9/20/2027
Facility Type Pharmacy
Lab Director JEFFCEY MUMFORD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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