42D2183014 CLIA NUMBER - WANNAMAKER DRUG

Laboratory Demographics

  • CLIA Code: 42D2183014
  • Facility Name: WANNAMAKER DRUG
  • Facility Address: 154 MARKET STREET
    CHERAW, SC
    ZIP 29520
  • Facility Phone: 843 537-3221
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LISA BRIDGES
  • NPI Number: 1922049816
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2183014
LAB Type Pharmacy
Facility Name WANNAMAKER DRUG
Street 154 MARKET STREET
City CHERAW
State SC
ZIP 29520
Phone 843 537-3221
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2024
Certificate Expiration Date 4/27/2026
Facility Type Pharmacy
Lab Director LISA BRIDGES

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