42D2256152 CLIA NUMBER - WALGREENS #21191

Laboratory Demographics

  • CLIA Code: 42D2256152
  • Facility Name: WALGREENS #21191
  • Facility Address: 200 RUTLEDGE AVENUE
    CHARLESTON, SC
    ZIP 29403
  • Facility Phone: 843 779-3690
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PIPER MCPHERSON
  • NPI Number: 1063905552
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2256152
LAB Type Pharmacy
Facility Name WALGREENS #21191
Street 200 RUTLEDGE AVENUE
City CHARLESTON
State SC
ZIP 29403
Phone 843 779-3690
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2024
Certificate Expiration Date 3/21/2026
Facility Type Pharmacy
Lab Director PIPER MCPHERSON

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