11D2028699 CLIA NUMBER - WALGREENS #06561

Laboratory Demographics

  • CLIA Code: 11D2028699
  • Facility Name: WALGREENS #06561
  • Facility Address: 1880 WATSON BOULEVARD
    WARNER ROBINS, GA
    ZIP 31093
  • Facility Phone: 478 975-9677
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHARISMA K. CALDWELL
  • NPI Number: 1184893893
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2028699
LAB Type Pharmacy
Facility Name WALGREENS #06561
Street 1880 WATSON BOULEVARD
City WARNER ROBINS
State GA
ZIP 31093
Phone 478 975-9677
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2025
Certificate Expiration Date 1/24/2027
Facility Type Pharmacy
Lab Director CHARISMA K. CALDWELL

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