11D2040443 CLIA NUMBER - WALGREENS #5368

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Laboratory Demographics

CLIA Number: 11D2040443

Facility Name: WALGREENS #5368

Facility Address:
11509 ABERCORN EXT
SAVANNAH, GA
ZIP 31419
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Facility Phone Number: 912 927-6119

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1295740496

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	11D2040443
LAB Type	Pharmacy
Facility Name	WALGREENS #5368
Street	11509 ABERCORN EXT
City	SAVANNAH
State	GA
ZIP	31419
Phone	912 927-6119
CertificateType	4
CertificateEffectiveDate	4/8/2023
CertificateExpirationDate	4/7/2025
FacilityType	Waiver

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