42D2231873 CLIA NUMBER - WALGREENS #17044

Laboratory Demographics

  • CLIA Code: 42D2231873
  • Facility Name: WALGREENS #17044
  • Facility Address: 6118 SAINT ANDREWS RD
    COLUMBIA, SC
    ZIP 29212
  • Facility Phone: 803 798-4010
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANNA BROWDER
  • NPI Number: 1891212312
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2231873
LAB Type Pharmacy
Facility Name WALGREENS #17044
Street 6118 SAINT ANDREWS RD
City COLUMBIA
State SC
ZIP 29212
Phone 803 798-4010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2023
Certificate Expiration Date 8/5/2025
Facility Type Pharmacy
Lab Director ANNA BROWDER

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