11D2042710 CLIA NUMBER - WALGREENS #9789

Laboratory Demographics

  • CLIA Code: 11D2042710
  • Facility Name: WALGREENS #9789
  • Facility Address: 3228 WRIGHTSBORO ROAD
    AUGUSTA, GA
    ZIP 30909
  • Facility Phone: 706 733-3715
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQVILINE MUENDA
  • NPI Number: 1881639706
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2042710
LAB Type Pharmacy
Facility Name WALGREENS #9789
Street 3228 WRIGHTSBORO ROAD
City AUGUSTA
State GA
ZIP 30909
Phone 706 733-3715
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2025
Certificate Expiration Date 5/25/2027
Facility Type Pharmacy
Lab Director JACQVILINE MUENDA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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