CLIA lab

CLIA 42D2019682: Walgreens #11434

Goose Creek, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 42D2019682 belongs to Walgreens #11434 in Goose Creek, SC.

Certificate of Waiver, effective May 5, 2025, expires May 4, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
May 5, 2025
Certificate expiration
May 4, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
February 3, 2011
Facility type
Pharmacy
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
42D2019682
Lab name
Walgreens #11434
Address
1630 Red Bank Rd, Goose Creek, SC 29445
Phone
(843) 553-7876
Fax
(843) 553-3545

Annual test volume the lab reported

Waived tests
400

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Goose Creek, SC

Related

Questions

What is the CLIA number for Walgreens #11434 in Goose Creek?

42D2019682, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walgreens #11434 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 42D2019682 expire?

The CMS file lists May 4, 2027 as the certificate expiration date; the certificate took effect May 5, 2025.

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