11D2042709 CLIA NUMBER - WALGREENS #07772

Laboratory Demographics

  • CLIA Code: 11D2042709
  • Facility Name: WALGREENS #07772
  • Facility Address: 672 FURYS FERRY ROAD
    AUGUSTA, GA
    ZIP 30907
  • Facility Phone: 706 210-7505
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LEAH L. CHUN
  • NPI Number: 1801298526
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2042709
LAB Type Pharmacy
Facility Name WALGREENS #07772
Street 672 FURYS FERRY ROAD
City AUGUSTA
State GA
ZIP 30907
Phone 706 210-7505
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2025
Certificate Expiration Date 7/22/2027
Facility Type Pharmacy
Lab Director LEAH L. CHUN

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