42D2042576 CLIA NUMBER - WALGREENS #11432

Home > CLIA Lookup > 42D2042576

Laboratory Demographics

CLIA Number: 42D2042576

Facility Name: WALGREENS #11432

Facility Address:
4380 JEFFERSON DAVIS HWY
BEECH ISLAND, SC
ZIP 29842
Get Directions

Facility Phone Number: 803 593-5508

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1093988214

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	42D2042576
LAB Type	Pharmacy
Facility Name	WALGREENS #11432
Street	4380 JEFFERSON DAVIS HWY
City	BEECH ISLAND
State	SC
ZIP	29842
Phone	803 593-5508
CertificateType	4
CertificateEffectiveDate	4/6/2023
CertificateExpirationDate	4/5/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024