11D2034613 CLIA NUMBER - WALGREENS 06201

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Laboratory Demographics

CLIA Number: 11D2034613

Facility Name: WALGREENS 06201

Facility Address:
2351 DAWSON ROAD
ALBANY, GA
ZIP 31707
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Facility Phone Number: 229 888-6166

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1427571033

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

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
CertificateType	4
CertificateEffectiveDate	8/16/2023
CertificateExpirationDate	8/15/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024