11D2034627 CLIA NUMBER - WALGREENS#10856

Laboratory Demographics

  • CLIA Code: 11D2034627
  • Facility Name: WALGREENS#10856
  • Facility Address: 2060 HIGHWAY 40 E
    KINGSLAND, GA
    ZIP 31548
  • Facility Phone: 912 673-9130
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANNA C. THOMAS
  • NPI Number: 1073788162
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2034627
LAB Type Pharmacy
Facility Name WALGREENS#10856
Street 2060 HIGHWAY 40 E
City KINGSLAND
State GA
ZIP 31548
Phone 912 673-9130
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2025
Certificate Expiration Date 3/21/2027
Facility Type Pharmacy
Lab Director ANNA C. THOMAS

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