11D1101187 CLIA NUMBER - WALGREENS #07502

Laboratory Demographics

  • CLIA Code: 11D1101187
  • Facility Name: WALGREENS #07502
  • Facility Address: 1490 PLEASANT HILL ROAD
    DULUTH, GA
    ZIP 30096
  • Facility Phone: 770 547-6508
  • Facility Type: Other - COVID TESTING SITE
  • Facility Type: Waiver
  • Lab Director: SHAUNA MARKES-WILSON
  • NPI Number: 1891063780
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D1101187
LAB Type Other - COVID TESTING SITE
Facility Name WALGREENS #07502
Street 1490 PLEASANT HILL ROAD
City DULUTH
State GA
ZIP 30096
Phone 770 547-6508
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2024
Certificate Expiration Date 10/26/2026
Facility Type Other - COVID TESTING SITE
Lab Director SHAUNA MARKES-WILSON

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