42D2288917 CLIA NUMBER - WALGREENS 06076

Laboratory Demographics

  • CLIA Code: 42D2288917
  • Facility Name: WALGREENS 06076
  • Facility Address: 8395 DORCHESTER ROAD
    NORTH CHARLESTON, SC
    ZIP 29418
  • Facility Phone: 843 207-1578
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MADELYNE J. WARREN
  • NPI Number: 1811902984
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2288917
LAB Type Pharmacy
Facility Name WALGREENS 06076
Street 8395 DORCHESTER ROAD
City NORTH CHARLESTON
State SC
ZIP 29418
Phone 843 207-1578
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2025
Certificate Expiration Date 8/31/2027
Facility Type Pharmacy
Lab Director MADELYNE J. WARREN

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