42D2288825 CLIA NUMBER - WALGREENS 09597

Laboratory Demographics

CLIA Number: 42D2288825

Facility Name: WALGREENS 09597

Facility Address:
1801 POINSETT HIGHWAY
GREENVILLE, SC
ZIP 29609
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Facility Phone Number: 864 240-8141

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1538174628

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	42D2288825
LAB Type	Pharmacy
Facility Name	WALGREENS 09597
Street	1801 POINSETT HIGHWAY
City	GREENVILLE
State	SC
ZIP	29609
Phone	864 240-8141
CertificateType	4
CertificateEffectiveDate	8/31/2023
CertificateExpirationDate	8/30/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024