42D2019680 CLIA NUMBER - WALGREENS #11270

Laboratory Demographics

  • CLIA Code: 42D2019680
  • Facility Name: WALGREENS #11270
  • Facility Address: 1861 REMOUNT RD
    NORTH CHARLESTON, SC
    ZIP 29406
  • Facility Phone: 843 740-6977
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFER B. CORVINO
  • NPI Number: 1679732069
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2019680
LAB Type Pharmacy
Facility Name WALGREENS #11270
Street 1861 REMOUNT RD
City NORTH CHARLESTON
State SC
ZIP 29406
Phone 843 740-6977
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/27/2025
Certificate Expiration Date 5/26/2027
Facility Type Pharmacy
Lab Director JENNIFER B. CORVINO

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