42D2006466 CLIA NUMBER - WALGREENS #07626

Laboratory Demographics

  • CLIA Code: 42D2006466
  • Facility Name: WALGREENS #07626
  • Facility Address: 2498 2ND LOOP RD
    FLORENCE, SC
    ZIP 29501
  • Facility Phone: 843 317-1233
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MATTHEW C. GUERRIERO
  • NPI Number: 1649285735
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2006466
LAB Type Pharmacy
Facility Name WALGREENS #07626
Street 2498 2ND LOOP RD
City FLORENCE
State SC
ZIP 29501
Phone 843 317-1233
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2025
Certificate Expiration Date 3/15/2027
Facility Type Pharmacy
Lab Director MATTHEW C. GUERRIERO

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