42D2021155 CLIA NUMBER - WALGREENS #9134

Laboratory Demographics

  • CLIA Code: 42D2021155
  • Facility Name: WALGREENS #9134
  • Facility Address: 138 OKATIE CENTER BLVD S
    OKATIE, SC
    ZIP 29909
  • Facility Phone: 843 705-0999
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EDWARD L. MEYERINK
  • NPI Number: 1790099695
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2021155
LAB Type Pharmacy
Facility Name WALGREENS #9134
Street 138 OKATIE CENTER BLVD S
City OKATIE
State SC
ZIP 29909
Phone 843 705-0999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2025
Certificate Expiration Date 4/5/2027
Facility Type Pharmacy
Lab Director EDWARD L. MEYERINK

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