42D2295928 CLIA NUMBER - WALGREENS 10581

Laboratory Demographics

  • CLIA Code: 42D2295928
  • Facility Name: WALGREENS 10581
  • Facility Address: 1228 KNOX AVE
    NORTH AUGUSTA, SC
    ZIP 29841
  • Facility Phone: (803) 279-3279
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TRAVIS R. SHEFFIELD
  • NPI Number: 1871700922
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2295928
LAB Type Pharmacy
Facility Name WALGREENS 10581
Street 1228 KNOX AVE
City NORTH AUGUSTA
State SC
ZIP 29841
Phone 8032793279
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2025
Certificate Expiration Date 12/18/2027
Facility Type Pharmacy
Lab Director TRAVIS R. SHEFFIELD

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