42D2288831 CLIA NUMBER - WALGREENS 10614

Laboratory Demographics

  • CLIA Code: 42D2288831
  • Facility Name: WALGREENS 10614
  • Facility Address: 997 E LIBERTY STREET
    YORK, SC
    ZIP 29745
  • Facility Phone: 803 684-3358
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ASHLEY M. JUMPER
  • NPI Number: 1063695823
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 42D2288831
LAB Type Pharmacy
Facility Name WALGREENS 10614
Street 997 E LIBERTY STREET
City YORK
State SC
ZIP 29745
Phone 803 684-3358
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 ASHLEY M. JUMPER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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