42D2012791 CLIA NUMBER - WALGREENS #10257

Laboratory Demographics

  • CLIA Code: 42D2012791
  • Facility Name: WALGREENS #10257
  • Facility Address: 395 N HIGHWAY 52
    MONCKS CORNER, SC
    ZIP 29461
  • Facility Phone: 843 899-6601
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANIELLA WINTERS
  • NPI Number: 1790894061
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2012791
LAB Type Pharmacy
Facility Name WALGREENS #10257
Street 395 N HIGHWAY 52
City MONCKS CORNER
State SC
ZIP 29461
Phone 843 899-6601
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2025
Certificate Expiration Date 3/25/2027
Facility Type Pharmacy
Lab Director DANIELLA WINTERS

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