42D2287174 CLIA NUMBER - WALGREENS 15512

Laboratory Demographics

  • CLIA Code: 42D2287174
  • Facility Name: WALGREENS 15512
  • Facility Address: 380 KING STREET
    CHARLESTON, SC
    ZIP 29401
  • Facility Phone: 843 714-6243
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRITTAINY ROMBERGER
  • NPI Number: 1639577166
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2287174
LAB Type Pharmacy
Facility Name WALGREENS 15512
Street 380 KING STREET
City CHARLESTON
State SC
ZIP 29401
Phone 843 714-6243
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Pharmacy
Lab Director BRITTAINY ROMBERGER

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