11D2055565 CLIA NUMBER - WALGREENS#11827

Laboratory Demographics

  • CLIA Code: 11D2055565
  • Facility Name: WALGREENS#11827
  • Facility Address: 2744 WASHINGTON ROAD
    AUGUSTA, GA
    ZIP 30909
  • Facility Phone: (706) 733-4277
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRANDON P. HARRIS
  • NPI Number: 1932378114
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2055565
LAB Type Pharmacy
Facility Name WALGREENS#11827
Street 2744 WASHINGTON ROAD
City AUGUSTA
State GA
ZIP 30909
Phone 7067334277
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2025
Certificate Expiration Date 1/25/2027
Facility Type Pharmacy
Lab Director BRANDON P. HARRIS

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This page was last updated on: 5/18/2026