11D2226271 CLIA NUMBER - WALGREENS #19629

Laboratory Demographics

  • CLIA Code: 11D2226271
  • Facility Name: WALGREENS #19629
  • Facility Address: 4600 HABERSHAM STREET
    SAVANNAH, GA
    ZIP 31405
  • Facility Phone: 912 354-5083
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALLISON NGUYEN
  • NPI Number: 1063936391
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2226271
LAB Type Pharmacy
Facility Name WALGREENS #19629
Street 4600 HABERSHAM STREET
City SAVANNAH
State GA
ZIP 31405
Phone 912 354-5083
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/27/2025
Certificate Expiration Date 5/26/2027
Facility Type Pharmacy
Lab Director ALLISON NGUYEN

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