11D2210897 CLIA NUMBER - WALGREENS #18095

Laboratory Demographics

  • CLIA Code: 11D2210897
  • Facility Name: WALGREENS #18095
  • Facility Address: 701 SOUTH PIERCE STREET
    ALMA, GA
    ZIP 31510
  • Facility Phone: 912 632-6715
  • Facility Type: Other - COVID TESTING
  • Facility Type: Waiver
  • Lab Director: TRACY L. GRAVES
  • NPI Number: 1275056848
  • Taxonomy: 333600000X - Pharmacy

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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
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 Other - COVID TESTING
Lab Director TRACY L. GRAVES

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