42D2042580 CLIA NUMBER - WALGREENS #1073

Laboratory Demographics

  • CLIA Code: 42D2042580
  • Facility Name: WALGREENS #1073
  • Facility Address: 1010 OLD BARNWELL ROAD
    WEST COLUMBIA, SC
    ZIP 29170
  • Facility Phone: 803 358-0612
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARY E. ROGERS
  • NPI Number: 1083139745
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2042580
LAB Type Pharmacy
Facility Name WALGREENS #1073
Street 1010 OLD BARNWELL ROAD
City WEST COLUMBIA
State SC
ZIP 29170
Phone 803 358-0612
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2025
Certificate Expiration Date 3/10/2027
Facility Type Pharmacy
Lab Director MARY E. ROGERS

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