42D2012785 CLIA NUMBER - WALGREENS #04813

Laboratory Demographics

  • CLIA Code: 42D2012785
  • Facility Name: WALGREENS #04813
  • Facility Address: 11 PALMETTO BAY RD, #110
    HILTON HEAD ISLAND, SC
    ZIP 29928
  • Facility Phone: 843 686-6525
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TODD MCFARLAND
  • NPI Number: 1558376624
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2012785
LAB Type Pharmacy
Facility Name WALGREENS #04813
Street 11 PALMETTO BAY RD, #110
City HILTON HEAD ISLAND
State SC
ZIP 29928
Phone 843 686-6525
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2025
Certificate Expiration Date 8/18/2027
Facility Type Pharmacy
Lab Director TODD MCFARLAND

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