11D2031589 CLIA NUMBER - WALGREENS #6899

Laboratory Demographics

  • CLIA Code: 11D2031589
  • Facility Name: WALGREENS #6899
  • Facility Address: 2815 N ASHLEY STREET
    VALDOSTA, GA
    ZIP 31602
  • Facility Phone: 229 253-9069
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RONDA SCOTT
  • NPI Number: 1659610384
  • Taxonomy: 183500000X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 11D2031589
LAB Type Pharmacy
Facility Name WALGREENS #6899
Street 2815 N ASHLEY STREET
City VALDOSTA
State GA
ZIP 31602
Phone 229 253-9069
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2025
Certificate Expiration Date 7/19/2027
Facility Type Pharmacy
Lab Director RONDA SCOTT

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