11D2290436 CLIA NUMBER - WALGREENS 15611

Laboratory Demographics

  • CLIA Code: 11D2290436
  • Facility Name: WALGREENS 15611
  • Facility Address: 2109 E VICTORY DRIVE
    SAVANNAH, GA
    ZIP 31404
  • Facility Phone: 912 354-2603
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARIAN L. BELL
  • NPI Number: 1528481025
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2290436
LAB Type Pharmacy
Facility Name WALGREENS 15611
Street 2109 E VICTORY DRIVE
City SAVANNAH
State GA
ZIP 31404
Phone 912 354-2603
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/26/2025
Certificate Expiration Date 9/25/2027
Facility Type Pharmacy
Lab Director MARIAN L. BELL

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