11D2217460 CLIA NUMBER - WALGREENS #11107

Laboratory Demographics

  • CLIA Code: 11D2217460
  • Facility Name: WALGREENS #11107
  • Facility Address: 501 US HIGHWAY 84 E
    CAIRO, GA
    ZIP 39828
  • Facility Phone: 229 377-5510
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CASEY S. BELL
  • NPI Number: 1750559977
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2217460
LAB Type Pharmacy
Facility Name WALGREENS #11107
Street 501 US HIGHWAY 84 E
City CAIRO
State GA
ZIP 39828
Phone 229 377-5510
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 CASEY S. BELL

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