42D2006480 CLIA NUMBER - WALGREENS #09232

Laboratory Demographics

  • CLIA Code: 42D2006480
  • Facility Name: WALGREENS #09232
  • Facility Address: 2407 BROAD ST
    CAMDEN, SC
    ZIP 29020
  • Facility Phone: 803 424-2510
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROBERT B. DAVIS
  • NPI Number: 1366457459
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2006480
LAB Type Pharmacy
Facility Name WALGREENS #09232
Street 2407 BROAD ST
City CAMDEN
State SC
ZIP 29020
Phone 803 424-2510
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Pharmacy
Lab Director ROBERT B. DAVIS

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