42D2021181 CLIA NUMBER - WALGREENS #10228

Laboratory Demographics

  • CLIA Code: 42D2021181
  • Facility Name: WALGREENS #10228
  • Facility Address: 2725 CLEMSON RD
    COLUMBIA, SC
    ZIP 29229
  • Facility Phone: 310 710-1688
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SANDY J. LEE
  • NPI Number: 1881837664
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2021181
LAB Type Pharmacy
Facility Name WALGREENS #10228
Street 2725 CLEMSON RD
City COLUMBIA
State SC
ZIP 29229
Phone 310 710-1688
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2024
Certificate Expiration Date 12/16/2026
Facility Type Pharmacy
Lab Director SANDY J. LEE

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