11D2034402 CLIA NUMBER - WALGREENS #10634

Laboratory Demographics

  • CLIA Code: 11D2034402
  • Facility Name: WALGREENS #10634
  • Facility Address: 6035 ZEBULON ROAD
    MACON, GA
    ZIP 31210
  • Facility Phone: 478 757-2027
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BUFFY B. JOHNSON
  • NPI Number: 1275725541
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2034402
LAB Type Pharmacy
Facility Name WALGREENS #10634
Street 6035 ZEBULON ROAD
City MACON
State GA
ZIP 31210
Phone 478 757-2027
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/19/2025
Certificate Expiration Date 3/18/2027
Facility Type Pharmacy
Lab Director BUFFY B. JOHNSON

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