42D2021165 CLIA NUMBER - WALGREENS #12447

Laboratory Demographics

  • CLIA Code: 42D2021165
  • Facility Name: WALGREENS #12447
  • Facility Address: 2196 E MAIN ST
    DUNCAN, SC
    ZIP 29334
  • Facility Phone: 864 486-1779
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KAREN D. ANDERSON
  • NPI Number: 1407189921
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2021165
LAB Type Pharmacy
Facility Name WALGREENS #12447
Street 2196 E MAIN ST
City DUNCAN
State SC
ZIP 29334
Phone 864 486-1779
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2025
Certificate Expiration Date 4/15/2027
Facility Type Pharmacy
Lab Director KAREN D. ANDERSON

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This page was last updated on: 6/4/2025