Healther Providers Data Logo

42D2012782 CLIA NUMBER - WALGREENS #06077

Laboratory Demographics

CLIA Number: 42D2012782

Facility Name: WALGREENS #06077

Facility Address:
2872 S HIGHWAY 17
MURRELLS INLET, SC
ZIP 29576
Get Directions

Facility Phone Number: 843 357-3985

Facility Type: Other - COVID TESTING SITE

Certificate Type: Waiver
NPI Number: 1285649350

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 42D2012782
LAB Type Other - COVID TESTING SITE
Facility Name WALGREENS #06077
Street 2872 S HIGHWAY 17
City MURRELLS INLET
State SC
ZIP 29576
Phone 843 357-3985
CertificateType 4
CertificateEffectiveDate 2/2/2023
CertificateExpirationDate 2/1/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

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

Download this CLIA NUMBER record in XML format: Export

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