42D2021185 CLIA NUMBER - WALGREENS #11563

Laboratory Demographics

  • CLIA Code: 42D2021185
  • Facility Name: WALGREENS #11563
  • Facility Address: 4361 HIGHWAY 24
    ANDERSON, SC
    ZIP 29626
  • Facility Phone: (864) 224-8433
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JONATHAN W. STRICKLAND
  • NPI Number: 1467617258
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2021185
LAB Type Pharmacy
Facility Name WALGREENS #11563
Street 4361 HIGHWAY 24
City ANDERSON
State SC
ZIP 29626
Phone 8642248433
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 JONATHAN W. STRICKLAND

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This page was last updated on: 5/18/2026