42D2006478 CLIA NUMBER - WALGREENS #12478

Laboratory Demographics

  • CLIA Code: 42D2006478
  • Facility Name: WALGREENS #12478
  • Facility Address: 9001 TWO NOTCH RD
    COLUMBIA, SC
    ZIP 29223
  • Facility Phone: 803 419-3664
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TRAVIS R. SHEFFIELD
  • NPI Number: 1801037775
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2006478
LAB Type Pharmacy
Facility Name WALGREENS #12478
Street 9001 TWO NOTCH RD
City COLUMBIA
State SC
ZIP 29223
Phone 803 419-3664
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2025
Certificate Expiration Date 3/28/2027
Facility Type Pharmacy
Lab Director TRAVIS R. SHEFFIELD

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