42D2006471 CLIA NUMBER - WALGREENS #7506

Laboratory Demographics

  • CLIA Code: 42D2006471
  • Facility Name: WALGREENS #7506
  • Facility Address: 1290 CHESTNUT ST
    ORANGEBURG, SC
    ZIP 29115
  • Facility Phone: 803 531-6115
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MATTHEW C. LESNIAK
  • NPI Number: 1811902901
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2006471
LAB Type Pharmacy
Facility Name WALGREENS #7506
Street 1290 CHESTNUT ST
City ORANGEBURG
State SC
ZIP 29115
Phone 803 531-6115
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 MATTHEW C. LESNIAK

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