42D2042582 CLIA NUMBER - WALGREENS #11851

Laboratory Demographics

  • CLIA Code: 42D2042582
  • Facility Name: WALGREENS #11851
  • Facility Address: 1532 LAKE MURRAY BLVD
    COLUMBIA, SC
    ZIP 29212
  • Facility Phone: 803 732-1975
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMES G. STROMAN
  • NPI Number: 1306004478
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2042582
LAB Type Pharmacy
Facility Name WALGREENS #11851
Street 1532 LAKE MURRAY BLVD
City COLUMBIA
State SC
ZIP 29212
Phone 803 732-1975
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2025
Certificate Expiration Date 4/21/2027
Facility Type Pharmacy
Lab Director JAMES G. STROMAN

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