11D2229343 CLIA NUMBER - WALGREENS #19793

Laboratory Demographics

  • CLIA Code: 11D2229343
  • Facility Name: WALGREENS #19793
  • Facility Address: 2803 WRIGHTSBORO ROAD
    AUGUSTA, GA
    ZIP 30909
  • Facility Phone: 706 733-4414
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SARAH ORR
  • NPI Number: 1013431436
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2229343
LAB Type Pharmacy
Facility Name WALGREENS #19793
Street 2803 WRIGHTSBORO ROAD
City AUGUSTA
State GA
ZIP 30909
Phone 706 733-4414
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2025
Certificate Expiration Date 7/11/2027
Facility Type Pharmacy
Lab Director SARAH ORR

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