11D2240764 CLIA NUMBER - WALGREENS #17337

Laboratory Demographics

  • CLIA Code: 11D2240764
  • Facility Name: WALGREENS #17337
  • Facility Address: 201 EAST BROAD STREET
    GREENSBORO, GA
    ZIP 30642
  • Facility Phone: 706 453-4120
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANESSA TURNER
  • NPI Number: 1861917478
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2240764
LAB Type Pharmacy
Facility Name WALGREENS #17337
Street 201 EAST BROAD STREET
City GREENSBORO
State GA
ZIP 30642
Phone 706 453-4120
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2025
Certificate Expiration Date 10/21/2027
Facility Type Pharmacy
Lab Director ANESSA TURNER

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