11D2041933 CLIA NUMBER - WALGREENS #6632

Laboratory Demographics

  • CLIA Code: 11D2041933
  • Facility Name: WALGREENS #6632
  • Facility Address: 3204 PEACH ORCHARD ROAD
    AUGUSTA, GA
    ZIP 30906
  • Facility Phone: 706 796-7240
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EDDIE T. HUNT
  • NPI Number: 1851306062
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2041933
LAB Type Pharmacy
Facility Name WALGREENS #6632
Street 3204 PEACH ORCHARD ROAD
City AUGUSTA
State GA
ZIP 30906
Phone 706 796-7240
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2023
Certificate Expiration Date 11/5/2025
Facility Type Pharmacy
Lab Director EDDIE T. HUNT

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