42D2291539 CLIA NUMBER - WALGREENS 11463

Laboratory Demographics

  • CLIA Code: 42D2291539
  • Facility Name: WALGREENS 11463
  • Facility Address: 100 LITTLE TEXAS ROAD
    TRAVELERS REST, SC
    ZIP 29690
  • Facility Phone: 864 834-4451
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAURA L. HOWARD
  • NPI Number: 1770746026
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 42D2291539
LAB Type Pharmacy
Facility Name WALGREENS 11463
Street 100 LITTLE TEXAS ROAD
City TRAVELERS REST
State SC
ZIP 29690
Phone 864 834-4451
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2025
Certificate Expiration Date 10/11/2027
Facility Type Pharmacy
Lab Director LAURA L. HOWARD

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