42D2042576 CLIA NUMBER - WALGREENS #11432

Laboratory Demographics

  • CLIA Code: 42D2042576
  • Facility Name: WALGREENS #11432
  • Facility Address: 4380 JEFFERSON DAVIS HWY
    BEECH ISLAND, SC
    ZIP 29842
  • Facility Phone: 803 593-5508
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAYNE AILSTOCK
  • NPI Number: 1093988214
  • Taxonomy: 333600000X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2025
Certificate Expiration Date 4/5/2027
Facility Type Pharmacy
Lab Director LAYNE AILSTOCK

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