11D2034602 CLIA NUMBER - WALGREENS #11708

Laboratory Demographics

  • CLIA Code: 11D2034602
  • Facility Name: WALGREENS #11708
  • Facility Address: 390 S MAIN STREET
    SWAINSBORO, GA
    ZIP 30401
  • Facility Phone: 478 237-0788
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. HEATHER P. SCARBORO
  • NPI Number: 1912176868
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2034602
LAB Type Pharmacy
Facility Name WALGREENS #11708
Street 390 S MAIN STREET
City SWAINSBORO
State GA
ZIP 30401
Phone 478 237-0788
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 MS. HEATHER P. SCARBORO

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