42D2019685 CLIA NUMBER - WALGREENS #12635

Laboratory Demographics

  • CLIA Code: 42D2019685
  • Facility Name: WALGREENS #12635
  • Facility Address: 3621 SAVANNAH HWY
    JOHNS ISLAND, SC
    ZIP 29455
  • Facility Phone: 843 571-0615
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: REGINA E. GRIFFITH
  • NPI Number: 1699906461
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2019685
LAB Type Pharmacy
Facility Name WALGREENS #12635
Street 3621 SAVANNAH HWY
City JOHNS ISLAND
State SC
ZIP 29455
Phone 843 571-0615
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 REGINA E. GRIFFITH

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