11D2034619 CLIA NUMBER - WALGREENS 12754

Home > CLIA Lookup > 11D2034619

Laboratory Demographics

CLIA Number: 11D2034619

Facility Name: WALGREENS 12754

Facility Address:
7869 VETERANS PARKWAY
COLUMBUS, GA
ZIP 31909
Get Directions

Facility Phone Number: 706 571-9312

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1649587429

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	11D2034619
LAB Type	Pharmacy
Facility Name	WALGREENS 12754
Street	7869 VETERANS PARKWAY
City	COLUMBUS
State	GA
ZIP	31909
Phone	706 571-9312
CertificateType	4
CertificateEffectiveDate	8/16/2023
CertificateExpirationDate	8/15/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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