42D2019687 CLIA NUMBER - WALGREENS #09542

Laboratory Demographics

  • CLIA Code: 42D2019687
  • Facility Name: WALGREENS #09542
  • Facility Address: 1 S ALLIANCE DR
    GOOSE CREEK, SC
    ZIP 29445
  • Facility Phone: 843 824-9375
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HOWARD Y. KLEIN
  • NPI Number: 1922267707
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2019687
LAB Type Pharmacy
Facility Name WALGREENS #09542
Street 1 S ALLIANCE DR
City GOOSE CREEK
State SC
ZIP 29445
Phone 843 824-9375
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2025
Certificate Expiration Date 8/22/2027
Facility Type Pharmacy
Lab Director HOWARD Y. KLEIN

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