11D2241037 CLIA NUMBER - WALGREENS #18178

Laboratory Demographics

  • CLIA Code: 11D2241037
  • Facility Name: WALGREENS #18178
  • Facility Address: 6950 BEAVER RUN ROAD
    MIDLAND, GA
    ZIP 31820
  • Facility Phone: 706 563-9967
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TAM TRAN
  • NPI Number: 1851814438
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2241037
LAB Type Pharmacy
Facility Name WALGREENS #18178
Street 6950 BEAVER RUN ROAD
City MIDLAND
State GA
ZIP 31820
Phone 706 563-9967
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2023
Certificate Expiration Date 10/24/2025
Facility Type Pharmacy
Lab Director TAM TRAN

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