42D2228316 CLIA NUMBER - WALGREENS #17118

Laboratory Demographics

  • CLIA Code: 42D2228316
  • Facility Name: WALGREENS #17118
  • Facility Address: 3518 MAIN HWY
    BAMBERG, SC
    ZIP 29003
  • Facility Phone: 803 245-7018
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRIS ALTMAN
  • NPI Number: 1700309804
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2228316
LAB Type Pharmacy
Facility Name WALGREENS #17118
Street 3518 MAIN HWY
City BAMBERG
State SC
ZIP 29003
Phone 803 245-7018
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2025
Certificate Expiration Date 6/23/2027
Facility Type Pharmacy
Lab Director CHRIS ALTMAN

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