11D2034619 CLIA NUMBER - WALGREENS 12754

Laboratory Demographics

  • CLIA Code: 11D2034619
  • Facility Name: WALGREENS 12754
  • Facility Address: 7869 VETERANS PARKWAY
    COLUMBUS, GA
    ZIP 31909
  • Facility Phone: 706 571-9312
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RACHEL L. SPENCER
  • NPI Number: 1649587429
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2034619
LAB Type Pharmacy
Facility Name WALGREENS 12754
Street 7869 VETERANS PARKWAY
City COLUMBUS
State GA
ZIP 31909
Phone 706 571-9312
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 RACHEL L. SPENCER

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