CLIA lab

CLIA 42D2019685: Walgreens #12635

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

CLIA number 42D2019685 belongs to Walgreens #12635 in Johns Island, SC.

Certificate of Waiver, effective March 11, 2025, expires March 10, 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
March 11, 2025
Certificate expiration
March 10, 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
42D2019685
Lab name
Walgreens #12635
Address
3621 Savannah Hwy, Johns Island, SC 29455
Phone
(843) 571-0615
Fax
(843) 571-0783

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 Johns Island, SC

Related

Questions

What is the CLIA number for Walgreens #12635 in Johns Island?

42D2019685, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walgreens #12635 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 42D2019685 expire?

The CMS file lists March 10, 2027 as the certificate expiration date; the certificate took effect March 11, 2025.

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