34D2291380 CLIA NUMBER - VIDAPHARMACY

Laboratory Demographics

  • CLIA Code: 34D2291380
  • Facility Name: VIDAPHARMACY
  • Facility Address: 4438 THE PLAZA, STE D
    CHARLOTTE, NC
    ZIP 28215
  • Facility Phone: (704) 837-4410
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NIKHIL TAILOR

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CLIA Record

Field Name Field Value
CLIA Number 34D2291380
LAB Type Pharmacy
Facility Name VIDAPHARMACY
Street 4438 THE PLAZA, STE D
City CHARLOTTE
State NC
ZIP 28215
Phone 7048374410
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2025
Certificate Expiration Date 10/9/2027
Facility Type Pharmacy
Lab Director NIKHIL TAILOR

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This page was last updated on: 5/18/2026