42D2288817 CLIA NUMBER - WALGREENS 07956

Laboratory Demographics

  • CLIA Code: 42D2288817
  • Facility Name: WALGREENS 07956
  • Facility Address: 11 N CAUSEWAY ROAD
    PAWLEYS ISLAND, SC
    ZIP 29585
  • Facility Phone: 843 979-1079
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHANNON B. FAULKENBERRY
  • NPI Number: 1376550327
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2288817
LAB Type Pharmacy
Facility Name WALGREENS 07956
Street 11 N CAUSEWAY ROAD
City PAWLEYS ISLAND
State SC
ZIP 29585
Phone 843 979-1079
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/31/2025
Certificate Expiration Date 8/30/2027
Facility Type Pharmacy
Lab Director SHANNON B. FAULKENBERRY

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