42D2019700 CLIA NUMBER - WALGREENS #04980

Laboratory Demographics

  • CLIA Code: 42D2019700
  • Facility Name: WALGREENS #04980
  • Facility Address: 20 HATTON PL, #100
    HILTON HEAD ISLAND, SC
    ZIP 29926
  • Facility Phone: 843 342-7451
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NICOLE BARTLETT
  • NPI Number: 1376558445
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2019700
LAB Type Pharmacy
Facility Name WALGREENS #04980
Street 20 HATTON PL, #100
City HILTON HEAD ISLAND
State SC
ZIP 29926
Phone 843 342-7451
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 NICOLE BARTLETT

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