11D2231538 CLIA NUMBER - WALGREENS #18250

Laboratory Demographics

  • CLIA Code: 11D2231538
  • Facility Name: WALGREENS #18250
  • Facility Address: 379 NORTH MAIN STREET
    CLEVELAND, GA
    ZIP 30528
  • Facility Phone: 706 865-2525
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DARLENE B. WAYNE
  • NPI Number: 1912420514
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2231538
LAB Type Pharmacy
Facility Name WALGREENS #18250
Street 379 NORTH MAIN STREET
City CLEVELAND
State GA
ZIP 30528
Phone 706 865-2525
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2025
Certificate Expiration Date 8/3/2027
Facility Type Pharmacy
Lab Director DARLENE B. WAYNE

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