CLIA lab

CLIA 42D2021168: Walgreens # 09082

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

CLIA number 42D2021168 belongs to Walgreens # 09082 in Mauldin, SC.

Certificate of Waiver, effective July 30, 2025, expires July 29, 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
July 30, 2025
Certificate expiration
July 29, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 8, 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
42D2021168
Lab name
Walgreens # 09082
Address
104 W Butler Rd, Mauldin, SC 29662
Phone
(864) 297-0739
Fax
(864) 297-1235

Annual test volume the lab reported

Waived tests
12,775

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

Other labs in Mauldin, SC

Related

Questions

What is the CLIA number for Walgreens # 09082 in Mauldin?

42D2021168, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walgreens # 09082 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 42D2021168 expire?

The CMS file lists July 29, 2027 as the certificate expiration date; the certificate took effect July 30, 2025.

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