42D2291127 CLIA NUMBER - WALGREENS 18351

Laboratory Demographics

  • CLIA Code: 42D2291127
  • Facility Name: WALGREENS 18351
  • Facility Address: 600 SAINT JAMES AVENUE
    GOOSE CREEK, SC
    ZIP 29445
  • Facility Phone: (843) 569-3114
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ABBA W. DOWA
  • NPI Number: 1558884593
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2291127
LAB Type Pharmacy
Facility Name WALGREENS 18351
Street 600 SAINT JAMES AVENUE
City GOOSE CREEK
State SC
ZIP 29445
Phone 8435693114
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2025
Certificate Expiration Date 10/4/2027
Facility Type Pharmacy
Lab Director ABBA W. DOWA

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This page was last updated on: 5/18/2026