42D2021728 CLIA NUMBER - WALGREENS #06687

Laboratory Demographics

  • CLIA Code: 42D2021728
  • Facility Name: WALGREENS #06687
  • Facility Address: 4300 HIGHWAY 17 S
    N MYRTLE BEACH, SC
    ZIP 29582
  • Facility Phone: 843 272-8399
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JILL L. PARMETER
  • NPI Number: 1548275613
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2021728
LAB Type Pharmacy
Facility Name WALGREENS #06687
Street 4300 HIGHWAY 17 S
City N MYRTLE BEACH
State SC
ZIP 29582
Phone 843 272-8399
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2025
Certificate Expiration Date 8/2/2027
Facility Type Pharmacy
Lab Director JILL L. PARMETER

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