42D2216992 CLIA NUMBER - WALGREENS #19197

Laboratory Demographics

  • CLIA Code: 42D2216992
  • Facility Name: WALGREENS #19197
  • Facility Address: 1401 CHAPIN ROAD
    CHAPIN, SC
    ZIP 29036
  • Facility Phone: 803 345-0759
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LUKE JONES
  • NPI Number: 1427572106
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2216992
LAB Type Pharmacy
Facility Name WALGREENS #19197
Street 1401 CHAPIN ROAD
City CHAPIN
State SC
ZIP 29036
Phone 803 345-0759
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 LUKE JONES

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This page was last updated on: 3/20/2025