42D2231333 CLIA NUMBER - WALGREENS #17370

Laboratory Demographics

  • CLIA Code: 42D2231333
  • Facility Name: WALGREENS #17370
  • Facility Address: 4730 FOREST DRIVE
    COLUMBIA, SC
    ZIP 29206
  • Facility Phone: 803 787-7362
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANGELA M. SWEARINGEN
  • NPI Number: 1073038691
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2231333
LAB Type Pharmacy
Facility Name WALGREENS #17370
Street 4730 FOREST DRIVE
City COLUMBIA
State SC
ZIP 29206
Phone 803 787-7362
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2023
Certificate Expiration Date 8/1/2025
Facility Type Pharmacy
Lab Director ANGELA M. SWEARINGEN

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