11D2034595 CLIA NUMBER - WALGREENS #9305

Laboratory Demographics

  • CLIA Code: 11D2034595
  • Facility Name: WALGREENS #9305
  • Facility Address: 1800 BAYTREE ROAD
    VALDOSTA, GA
    ZIP 31602
  • Facility Phone: 229 242-4939
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRYAN MARTIN
  • NPI Number: 1396825972
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2034595
LAB Type Pharmacy
Facility Name WALGREENS #9305
Street 1800 BAYTREE ROAD
City VALDOSTA
State GA
ZIP 31602
Phone 229 242-4939
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2025
Certificate Expiration Date 4/20/2027
Facility Type Pharmacy
Lab Director BRYAN MARTIN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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