42D2021195 CLIA NUMBER - WALGREENS #11400

Laboratory Demographics

  • CLIA Code: 42D2021195
  • Facility Name: WALGREENS #11400
  • Facility Address: 5312 CALHOUN MEMORIAL HWY #123
    EASLEY, SC
    ZIP 29640
  • Facility Phone: 864 855-2925
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTINA SANTIAGO
  • NPI Number: 1649467374
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2021195
LAB Type Pharmacy
Facility Name WALGREENS #11400
Street 5312 CALHOUN MEMORIAL HWY #123
City EASLEY
State SC
ZIP 29640
Phone 864 855-2925
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2025
Certificate Expiration Date 6/1/2027
Facility Type Pharmacy
Lab Director CHRISTINA SANTIAGO

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