42D2024422 CLIA NUMBER - WALGREENS # 12163

Laboratory Demographics

  • CLIA Code: 42D2024422
  • Facility Name: WALGREENS # 12163
  • Facility Address: 127 W COLUMBIA AVE
    BATESBURG, SC
    ZIP 29006
  • Facility Phone: 803 532-2586
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JESSICA PRESTIA
  • NPI Number: 1629202718
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2024422
LAB Type Pharmacy
Facility Name WALGREENS # 12163
Street 127 W COLUMBIA AVE
City BATESBURG
State SC
ZIP 29006
Phone 803 532-2586
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2025
Certificate Expiration Date 3/25/2027
Facility Type Pharmacy
Lab Director JESSICA PRESTIA

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