42D2021183 CLIA NUMBER - WALGREENS #02681

Laboratory Demographics

  • CLIA Code: 42D2021183
  • Facility Name: WALGREENS #02681
  • Facility Address: 6057 WHITE HORSE RD
    GREENVILLE, SC
    ZIP 29611
  • Facility Phone: 864 295-0243
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LANCE R. OLSZEWSKI
  • NPI Number: 1104114388
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2021183
LAB Type Pharmacy
Facility Name WALGREENS #02681
Street 6057 WHITE HORSE RD
City GREENVILLE
State SC
ZIP 29611
Phone 864 295-0243
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 LANCE R. OLSZEWSKI

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