11D2034613 CLIA NUMBER - WALGREENS 06201

Laboratory Demographics

  • CLIA Code: 11D2034613
  • Facility Name: WALGREENS 06201
  • Facility Address: 2351 DAWSON ROAD
    ALBANY, GA
    ZIP 31707
  • Facility Phone: 229 888-6166
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: OLAYINKA T. ILESANMI
  • NPI Number: 1427571033
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2034613
LAB Type Pharmacy
Facility Name WALGREENS 06201
Street 2351 DAWSON ROAD
City ALBANY
State GA
ZIP 31707
Phone 229 888-6166
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2025
Certificate Expiration Date 8/15/2027
Facility Type Pharmacy
Lab Director OLAYINKA T. ILESANMI

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