42D2006467 CLIA NUMBER - WALGREENS #7155

Laboratory Demographics

  • CLIA Code: 42D2006467
  • Facility Name: WALGREENS #7155
  • Facility Address: 1500 S IRBY ST
    FLORENCE, SC
    ZIP 29505
  • Facility Phone: (843) 629-8427
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHANIQUA J. TIMMONS
  • NPI Number: 1376558452
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2006467
LAB Type Pharmacy
Facility Name WALGREENS #7155
Street 1500 S IRBY ST
City FLORENCE
State SC
ZIP 29505
Phone 8436298427
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2025
Certificate Expiration Date 8/22/2027
Facility Type Pharmacy
Lab Director SHANIQUA J. TIMMONS

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