11D2287647 CLIA NUMBER - WALGREENS #19407

Laboratory Demographics

  • CLIA Code: 11D2287647
  • Facility Name: WALGREENS #19407
  • Facility Address: 2000 VETERANS BOULEVARD
    DUBLIN, GA
    ZIP 31021
  • Facility Phone: 478 296-7608
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: APRIL PEEBLES STORY
  • NPI Number: 1497279988
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2287647
LAB Type Pharmacy
Facility Name WALGREENS #19407
Street 2000 VETERANS BOULEVARD
City DUBLIN
State GA
ZIP 31021
Phone 478 296-7608
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2025
Certificate Expiration Date 8/15/2027
Facility Type Pharmacy
Lab Director APRIL PEEBLES STORY

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