11D2034343 CLIA NUMBER - WALGREENS #10832

Laboratory Demographics

  • CLIA Code: 11D2034343
  • Facility Name: WALGREENS #10832
  • Facility Address: 2350 N COLUMBIA STREET
    MILLEDGEVILLE, GA
    ZIP 31061
  • Facility Phone: 478 414-1168
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BENJAMIN FLERI
  • NPI Number: 1043471915
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2034343
LAB Type Pharmacy
Facility Name WALGREENS #10832
Street 2350 N COLUMBIA STREET
City MILLEDGEVILLE
State GA
ZIP 31061
Phone 478 414-1168
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2025
Certificate Expiration Date 10/12/2027
Facility Type Pharmacy
Lab Director BENJAMIN FLERI

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