42D2218089 CLIA NUMBER - WALGREENS #17330

Laboratory Demographics

  • CLIA Code: 42D2218089
  • Facility Name: WALGREENS #17330
  • Facility Address: 201 EAST MAIN STREET
    WILLIAMSTON, SC
    ZIP 29697
  • Facility Phone: 864 847-9071
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: OLUWATOBI FADEYI
  • NPI Number: 1225552995
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2218089
LAB Type Pharmacy
Facility Name WALGREENS #17330
Street 201 EAST MAIN STREET
City WILLIAMSTON
State SC
ZIP 29697
Phone 864 847-9071
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Pharmacy
Lab Director OLUWATOBI FADEYI

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