11D2239316 CLIA NUMBER - WALGREENS #18291

Laboratory Demographics

  • CLIA Code: 11D2239316
  • Facility Name: WALGREENS #18291
  • Facility Address: 402 S DAVIS STREET
    NASHVILLE, GA
    ZIP 31639
  • Facility Phone: (229) 686-5113
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PRATYUSHA C. PATEL
  • NPI Number: 1417470022
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2239316
LAB Type Pharmacy
Facility Name WALGREENS #18291
Street 402 S DAVIS STREET
City NASHVILLE
State GA
ZIP 31639
Phone 2296865113
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2025
Certificate Expiration Date 10/11/2027
Facility Type Pharmacy
Lab Director PRATYUSHA C. PATEL

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This page was last updated on: 5/18/2026