11D2032295 CLIA NUMBER - WALGREENS #09849

Laboratory Demographics

  • CLIA Code: 11D2032295
  • Facility Name: WALGREENS #09849
  • Facility Address: 1024 EAST 16TH AVENUE
    CORDELE, GA
    ZIP 31015
  • Facility Phone: 229 273-5043
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRITTANY U. VO
  • NPI Number: 1972518090
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2032295
LAB Type Pharmacy
Facility Name WALGREENS #09849
Street 1024 EAST 16TH AVENUE
City CORDELE
State GA
ZIP 31015
Phone 229 273-5043
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2025
Certificate Expiration Date 4/22/2027
Facility Type Pharmacy
Lab Director BRITTANY U. VO

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