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11D2210897 CLIA NUMBER - WALGREENS #18095

Laboratory Demographics

CLIA Number: 11D2210897

Facility Name: WALGREENS #18095

Facility Address:
701 SOUTH PIERCE STREET
ALMA, GA
ZIP 31510
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Facility Phone Number: 912 632-6715

Facility Type: Other - COVID TESTING

Certificate Type: Waiver
NPI Number: 1275056848

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 11D2210897
LAB Type Other - COVID TESTING
Facility Name WALGREENS #18095
Street 701 SOUTH PIERCE STREET
City ALMA
State GA
ZIP 31510
Phone 912 632-6715
CertificateType 4
CertificateEffectiveDate 1/25/2023
CertificateExpirationDate 1/24/2025
FacilityType Waiver

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