11D2217420 CLIA NUMBER - WALGREENS #18185

Laboratory Demographics

  • CLIA Code: 11D2217420
  • Facility Name: WALGREENS #18185
  • Facility Address: 402 S VETERANS BOULEVARD
    GLENNVILLE, GA
    ZIP 30427
  • Facility Phone: 912 654-9647
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRENNA D. CREWS
  • NPI Number: 1033632625
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2217420
LAB Type Pharmacy
Facility Name WALGREENS #18185
Street 402 S VETERANS BOULEVARD
City GLENNVILLE
State GA
ZIP 30427
Phone 912 654-9647
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2025
Certificate Expiration Date 3/21/2027
Facility Type Pharmacy
Lab Director BRENNA D. CREWS

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