42D2006464 CLIA NUMBER - WALGREENS #10447

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Laboratory Demographics

CLIA Number: 42D2006464

Facility Name: WALGREENS #10447

Facility Address:
1210 HIGHWAY 301 N
DILLON, SC
ZIP 29536
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Facility Phone Number: 843 774-2707

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1396890638

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	42D2006464
LAB Type	Pharmacy
Facility Name	WALGREENS #10447
Street	1210 HIGHWAY 301 N
City	DILLON
State	SC
ZIP	29536
Phone	843 774-2707
CertificateType	4
CertificateEffectiveDate	4/12/2023
CertificateExpirationDate	4/11/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024