11D2057897 CLIA NUMBER - WALGREENS #10506

Laboratory Demographics

  • CLIA Code: 11D2057897
  • Facility Name: WALGREENS #10506
  • Facility Address: 2270 HIGHWAY 17
    RICHMOND HILL, GA
    ZIP 31324
  • Facility Phone: 912 459-0880
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LORI JARRARD
  • NPI Number: 1396976130
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2057897
LAB Type Pharmacy
Facility Name WALGREENS #10506
Street 2270 HIGHWAY 17
City RICHMOND HILL
State GA
ZIP 31324
Phone 912 459-0880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2025
Certificate Expiration Date 1/24/2027
Facility Type Pharmacy
Lab Director LORI JARRARD

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