42D2006463 CLIA NUMBER - WALGREENS #09737

Laboratory Demographics

  • CLIA Code: 42D2006463
  • Facility Name: WALGREENS #09737
  • Facility Address: 1005 S GOVERNOR WILLIAMS HWY
    DARLINGTON, SC
    ZIP 29532
  • Facility Phone: 843 393-2679
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MINA G. GEORGY
  • NPI Number: 1023533775
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2006463
LAB Type Pharmacy
Facility Name WALGREENS #09737
Street 1005 S GOVERNOR WILLIAMS HWY
City DARLINGTON
State SC
ZIP 29532
Phone 843 393-2679
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2025
Certificate Expiration Date 10/18/2027
Facility Type Pharmacy
Lab Director MINA G. GEORGY

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