11D2287896 CLIA NUMBER - WALGREENS 17418

Laboratory Demographics

  • CLIA Code: 11D2287896
  • Facility Name: WALGREENS 17418
  • Facility Address: 506 W 4TH ST
    ADEL, GA
    ZIP 31620
  • Facility Phone: 229 896-2300
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MISTY L. COX
  • NPI Number: 1003330655
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2287896
LAB Type Pharmacy
Facility Name WALGREENS 17418
Street 506 W 4TH ST
City ADEL
State GA
ZIP 31620
Phone 229 896-2300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2025
Certificate Expiration Date 8/17/2027
Facility Type Pharmacy
Lab Director MISTY L. COX

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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