42D2006478 CLIA NUMBER - WALGREENS #12478

Home > CLIA Lookup > 42D2006478

Laboratory Demographics

CLIA Number: 42D2006478

Facility Name: WALGREENS #12478

Facility Address:
9001 TWO NOTCH RD
COLUMBIA, SC
ZIP 29223
Get Directions

Facility Phone Number: 803 419-3664

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1801037775

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

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
CertificateType	4
CertificateEffectiveDate	3/29/2023
CertificateExpirationDate	3/28/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024