42D2295930 CLIA NUMBER - WALGREENS 17239

Laboratory Demographics

  • CLIA Code: 42D2295930
  • Facility Name: WALGREENS 17239
  • Facility Address: 8225 E MAIN STREET, SUITE F
    RIDGELAND, SC
    ZIP 29936
  • Facility Phone: 843 726-3067
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GARRET T. CARMICHAEL
  • NPI Number: 1861918740
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2295930
LAB Type Pharmacy
Facility Name WALGREENS 17239
Street 8225 E MAIN STREET, SUITE F
City RIDGELAND
State SC
ZIP 29936
Phone 843 726-3067
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 GARRET T. CARMICHAEL

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