11D2042229 CLIA NUMBER - WALGREENS #10635

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Laboratory Demographics

CLIA Number: 11D2042229

Facility Name: WALGREENS #10635

Facility Address:
5701 OGEECHEE ROAD
SAVANNAH, GA
ZIP 31405
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Facility Phone Number: 912 232-8512

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1598996761

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	11D2042229
LAB Type	Pharmacy
Facility Name	WALGREENS #10635
Street	5701 OGEECHEE ROAD
City	SAVANNAH
State	GA
ZIP	31405
Phone	912 232-8512
CertificateType	4
CertificateEffectiveDate	5/5/2023
CertificateExpirationDate	5/4/2025
FacilityType	Waiver

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