42D2288934 CLIA NUMBER - WALGREENS 17385

Laboratory Demographics

  • CLIA Code: 42D2288934
  • Facility Name: WALGREENS 17385
  • Facility Address: 956 N MAIN STREET
    WOODRUFF, SC
    ZIP 29388
  • Facility Phone: 864 476-5902
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MYONG H. TOO
  • NPI Number: 1972028512
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2288934
LAB Type Pharmacy
Facility Name WALGREENS 17385
Street 956 N MAIN STREET
City WOODRUFF
State SC
ZIP 29388
Phone 864 476-5902
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 MYONG H. TOO

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