11D2042224 CLIA NUMBER - WALGREEN #10799

Laboratory Demographics

  • CLIA Code: 11D2042224
  • Facility Name: WALGREEN #10799
  • Facility Address: 409 S COLUMBIA AVENUE
    RINCON, GA
    ZIP 31326
  • Facility Phone: 912 826-7350
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MEGAN N. ELROD
  • NPI Number: 1720275308
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2042224
LAB Type Pharmacy
Facility Name WALGREEN #10799
Street 409 S COLUMBIA AVENUE
City RINCON
State GA
ZIP 31326
Phone 912 826-7350
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 MEGAN N. ELROD

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