42D2012809 CLIA NUMBER - WALGREENS #09996

Laboratory Demographics

  • CLIA Code: 42D2012809
  • Facility Name: WALGREENS #09996
  • Facility Address: 837 W FLOYD BAKER BLVD
    GAFFNEY, SC
    ZIP 29341
  • Facility Phone: 864 902-0374
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TIMOTHY ZGONC
  • NPI Number: 1215450309
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2012809
LAB Type Pharmacy
Facility Name WALGREENS #09996
Street 837 W FLOYD BAKER BLVD
City GAFFNEY
State SC
ZIP 29341
Phone 864 902-0374
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2025
Certificate Expiration Date 3/10/2027
Facility Type Pharmacy
Lab Director TIMOTHY ZGONC

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