11D2217457 CLIA NUMBER - WALGREENS #17222

Laboratory Demographics

  • CLIA Code: 11D2217457
  • Facility Name: WALGREENS #17222
  • Facility Address: 730 SOUTH LEWIS STREET
    METTER, GA
    ZIP 30439
  • Facility Phone: 912 685-5170
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERIN G. CHALKER
  • NPI Number: 1144743931
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2217457
LAB Type Pharmacy
Facility Name WALGREENS #17222
Street 730 SOUTH LEWIS STREET
City METTER
State GA
ZIP 30439
Phone 912 685-5170
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 ERIN G. CHALKER

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