11D2239330 CLIA NUMBER - WALGREENS #19880

Laboratory Demographics

  • CLIA Code: 11D2239330
  • Facility Name: WALGREENS #19880
  • Facility Address: 301 S BROAD STREET
    THOMASVILLE, GA
    ZIP 31792
  • Facility Phone: 229 228-7658
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MELODY H. PARKER
  • NPI Number: 1407370042
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2239330
LAB Type Pharmacy
Facility Name WALGREENS #19880
Street 301 S BROAD STREET
City THOMASVILLE
State GA
ZIP 31792
Phone 229 228-7658
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 MELODY H. PARKER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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