42D2019679 CLIA NUMBER - WALGREENS #11252

Laboratory Demographics

  • CLIA Code: 42D2019679
  • Facility Name: WALGREENS #11252
  • Facility Address: 2363 BOUNDARY ST
    BEAUFORT, SC
    ZIP 29902
  • Facility Phone: (843) 322-0308
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFER E. DECKER
  • NPI Number: 1871759167
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 42D2019679
LAB Type Pharmacy
Facility Name WALGREENS #11252
Street 2363 BOUNDARY ST
City BEAUFORT
State SC
ZIP 29902
Phone 8433220308
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 JENNIFER E. DECKER

Download Record

Download this CLIA record record in Text format: Export

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

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026