42D1084654 CLIA NUMBER - WALGREENS PHARMACY #06262

Laboratory Demographics

  • CLIA Code: 42D1084654
  • Facility Name: WALGREENS PHARMACY #06262
  • Facility Address: 3501 FOREST DRIVE
    COLUMBIA, SC
    ZIP 29204
  • Facility Phone: 803 743-4373
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANDREW D. KAHLE
  • NPI Number: 1720093891
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D1084654
LAB Type Pharmacy
Facility Name WALGREENS PHARMACY #06262
Street 3501 FOREST DRIVE
City COLUMBIA
State SC
ZIP 29204
Phone 803 743-4373
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2025
Certificate Expiration Date 7/29/2027
Facility Type Pharmacy
Lab Director ANDREW D. KAHLE

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