42D2216988 CLIA NUMBER - WALGREENS 07593

Laboratory Demographics

  • CLIA Code: 42D2216988
  • Facility Name: WALGREENS 07593
  • Facility Address: 3681 BOILING SPRINGS ROAD
    BOILING SPRINGS, SC
    ZIP 29316
  • Facility Phone: 864 578-2414
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NIKKO WARE
  • NPI Number: 1912912007
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 42D2216988
LAB Type Pharmacy
Facility Name WALGREENS 07593
Street 3681 BOILING SPRINGS ROAD
City BOILING SPRINGS
State SC
ZIP 29316
Phone 864 578-2414
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2025
Certificate Expiration Date 3/16/2027
Facility Type Pharmacy
Lab Director NIKKO WARE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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