42D2006477 CLIA NUMBER - WALGREENS #11379

Laboratory Demographics

  • CLIA Code: 42D2006477
  • Facility Name: WALGREENS #11379
  • Facility Address: 7801 GARNERS FERRY RD
    COLUMBIA, SC
    ZIP 29209
  • Facility Phone: 803 647-7638
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL P. TROIDL
  • NPI Number: 1841437266
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2006477
LAB Type Pharmacy
Facility Name WALGREENS #11379
Street 7801 GARNERS FERRY RD
City COLUMBIA
State SC
ZIP 29209
Phone 803 647-7638
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 MICHAEL P. TROIDL

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