42D2288922 CLIA NUMBER - WALGREENS 06073

Laboratory Demographics

  • CLIA Code: 42D2288922
  • Facility Name: WALGREENS 06073
  • Facility Address: 54 OLD TROLLEY ROAD
    SUMMERVILLE, SC
    ZIP 29485
  • Facility Phone: 843 871-5159
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VANESSA MCBRIDE
  • NPI Number: 1134646656
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2288922
LAB Type Pharmacy
Facility Name WALGREENS 06073
Street 54 OLD TROLLEY ROAD
City SUMMERVILLE
State SC
ZIP 29485
Phone 843 871-5159
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 VANESSA MCBRIDE

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