42D2021176 CLIA NUMBER - WALGREENS #12782

Laboratory Demographics

  • CLIA Code: 42D2021176
  • Facility Name: WALGREENS #12782
  • Facility Address: 1925 ASHLEY RIVER ROAD
    CHARLESTON, SC
    ZIP 29407
  • Facility Phone: 843 405-1500
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEVEN P. LAMPARELLI
  • NPI Number: 1811204696
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2021176
LAB Type Pharmacy
Facility Name WALGREENS #12782
Street 1925 ASHLEY RIVER ROAD
City CHARLESTON
State SC
ZIP 29407
Phone 843 405-1500
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 STEVEN P. LAMPARELLI

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