11D2218254 CLIA NUMBER - WALGREENS #17923

Laboratory Demographics

  • CLIA Code: 11D2218254
  • Facility Name: WALGREENS #17923
  • Facility Address: 2065 EXPERIMENT STATION ROAD
    WATKINSVILLE, GA
    ZIP 30677
  • Facility Phone: 706 769-5654
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRITTANY N. SAWYER
  • NPI Number: 1780107334
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2218254
LAB Type Pharmacy
Facility Name WALGREENS #17923
Street 2065 EXPERIMENT STATION ROAD
City WATKINSVILLE
State GA
ZIP 30677
Phone 706 769-5654
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2025
Certificate Expiration Date 3/25/2027
Facility Type Pharmacy
Lab Director BRITTANY N. SAWYER

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