42D2295926 CLIA NUMBER - WALGREENS 06137

Laboratory Demographics

  • CLIA Code: 42D2295926
  • Facility Name: WALGREENS 06137
  • Facility Address: 2224 AUGUSTA ROAD
    WEST COLUMBIA, SC
    ZIP 29169
  • Facility Phone: 803 791-3676
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KAITLYN R. CABOT
  • NPI Number: 1366457434
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2295926
LAB Type Pharmacy
Facility Name WALGREENS 06137
Street 2224 AUGUSTA ROAD
City WEST COLUMBIA
State SC
ZIP 29169
Phone 803 791-3676
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2023
Certificate Expiration Date 12/18/2025
Facility Type Pharmacy
Lab Director KAITLYN R. CABOT

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