11D2031592 CLIA NUMBER - WALGREENS #11106

Laboratory Demographics

  • CLIA Code: 11D2031592
  • Facility Name: WALGREENS #11106
  • Facility Address: 733 E FORSYTH STREET
    AMERICUS, GA
    ZIP 31709
  • Facility Phone: 229 924-6670
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HANNAH NJOH
  • NPI Number: 1083899587
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2031592
LAB Type Pharmacy
Facility Name WALGREENS #11106
Street 733 E FORSYTH STREET
City AMERICUS
State GA
ZIP 31709
Phone 229 924-6670
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2024
Certificate Expiration Date 1/24/2026
Facility Type Pharmacy
Lab Director HANNAH NJOH

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