11D2034320 CLIA NUMBER - WALGREENS #07229

Laboratory Demographics

  • CLIA Code: 11D2034320
  • Facility Name: WALGREENS #07229
  • Facility Address: 4305 MERCER UNIVERSITY DRIVE
    MACON, GA
    ZIP 31206
  • Facility Phone: 478 471-6669
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JUSTIN KYEI-FRIMPONG
  • NPI Number: 1396750501
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2034320
LAB Type Pharmacy
Facility Name WALGREENS #07229
Street 4305 MERCER UNIVERSITY DRIVE
City MACON
State GA
ZIP 31206
Phone 478 471-6669
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2023
Certificate Expiration Date 7/13/2025
Facility Type Pharmacy
Lab Director JUSTIN KYEI-FRIMPONG

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This page was last updated on: 3/20/2025