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11D2287766 CLIA NUMBER - WALGREENS 10266

Laboratory Demographics

CLIA Number: 11D2287766

Facility Name: WALGREENS 10266

Facility Address:
101 TORRAS DRIVE
BRUNSWICK, GA
ZIP 31520
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Facility Phone Number: 912 267-0415

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1144438938

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 11D2287766
LAB Type Pharmacy
Facility Name WALGREENS 10266
Street 101 TORRAS DRIVE
City BRUNSWICK
State GA
ZIP 31520
Phone 912 267-0415
CertificateType 4
CertificateEffectiveDate 8/17/2023
CertificateExpirationDate 8/16/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024