42D2021192 CLIA NUMBER - WALGREENS #11698

Laboratory Demographics

  • CLIA Code: 42D2021192
  • Facility Name: WALGREENS #11698
  • Facility Address: 101 HAMPTON AVE
    PICKENS, SC
    ZIP 29671
  • Facility Phone: 864 878-0599
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KATELYN E. LONG
  • NPI Number: 1639332976
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2021192
LAB Type Pharmacy
Facility Name WALGREENS #11698
Street 101 HAMPTON AVE
City PICKENS
State SC
ZIP 29671
Phone 864 878-0599
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2025
Certificate Expiration Date 4/11/2027
Facility Type Pharmacy
Lab Director KATELYN E. LONG

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