42D2287284 CLIA NUMBER - WALGREENS 17457

Laboratory Demographics

  • CLIA Code: 42D2287284
  • Facility Name: WALGREENS 17457
  • Facility Address: 2708 ROSEWOOD DRIVE
    COLUMBIA, SC
    ZIP 29205
  • Facility Phone: 803 799-0036
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MATTHEW L. HATCHELL
  • NPI Number: 1992228936
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2287284
LAB Type Pharmacy
Facility Name WALGREENS 17457
Street 2708 ROSEWOOD DRIVE
City COLUMBIA
State SC
ZIP 29205
Phone 803 799-0036
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2025
Certificate Expiration Date 8/10/2027
Facility Type Pharmacy
Lab Director MATTHEW L. HATCHELL

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