11D2291046 CLIA NUMBER - WALGREENS #17795

Laboratory Demographics

  • CLIA Code: 11D2291046
  • Facility Name: WALGREENS #17795
  • Facility Address: 3537 US HIGHWAY 84
    BLACKSHEAR, GA
    ZIP 31516
  • Facility Phone: 912 449-0811
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRITTANY LOWDER
  • NPI Number: 1619491297
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2291046
LAB Type Pharmacy
Facility Name WALGREENS #17795
Street 3537 US HIGHWAY 84
City BLACKSHEAR
State GA
ZIP 31516
Phone 912 449-0811
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2025
Certificate Expiration Date 10/3/2027
Facility Type Pharmacy
Lab Director BRITTANY LOWDER

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