11D2031587 CLIA NUMBER - WALGREENS #06327

Laboratory Demographics

  • CLIA Code: 11D2031587
  • Facility Name: WALGREENS #06327
  • Facility Address: 4808 BUENA VISTA ROAD
    COLUMBUS, GA
    ZIP 31907
  • Facility Phone: 706 569-9439
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LIMING NI
  • NPI Number: 1952316168
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2031587
LAB Type Pharmacy
Facility Name WALGREENS #06327
Street 4808 BUENA VISTA ROAD
City COLUMBUS
State GA
ZIP 31907
Phone 706 569-9439
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2025
Certificate Expiration Date 7/12/2027
Facility Type Pharmacy
Lab Director LIMING NI

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