42D2288827 CLIA NUMBER - WALGREENS 06877

Laboratory Demographics

  • CLIA Code: 42D2288827
  • Facility Name: WALGREENS 06877
  • Facility Address: 4779 HIGHWAY 501
    MYRTLE BEACH, SC
    ZIP 29579
  • Facility Phone: 843 903-5695
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALISON GRACE BRADFORD
  • NPI Number: 1275548349
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2288827
LAB Type Pharmacy
Facility Name WALGREENS 06877
Street 4779 HIGHWAY 501
City MYRTLE BEACH
State SC
ZIP 29579
Phone 843 903-5695
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 ALISON GRACE BRADFORD

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