11D2287314 CLIA NUMBER - WALGREENS 19561

Laboratory Demographics

  • CLIA Code: 11D2287314
  • Facility Name: WALGREENS 19561
  • Facility Address: 1235 WASHINGTON STREET
    CLARKESVILLE, GA
    ZIP 30523
  • Facility Phone: 706 754-4122
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CRAIG NAVARRO
  • NPI Number: 1972028645
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2287314
LAB Type Pharmacy
Facility Name WALGREENS 19561
Street 1235 WASHINGTON STREET
City CLARKESVILLE
State GA
ZIP 30523
Phone 706 754-4122
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2025
Certificate Expiration Date 8/10/2027
Facility Type Pharmacy
Lab Director CRAIG NAVARRO

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