11D2028568 CLIA NUMBER - WALGREENS 07820

Laboratory Demographics

  • CLIA Code: 11D2028568
  • Facility Name: WALGREENS 07820
  • Facility Address: 794 S PARK STREET
    CARROLLTON, GA
    ZIP 30117
  • Facility Phone: 770 838-1678
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RICHARD A. OPOKU
  • NPI Number: 1053835397
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2028568
LAB Type Pharmacy
Facility Name WALGREENS 07820
Street 794 S PARK STREET
City CARROLLTON
State GA
ZIP 30117
Phone 770 838-1678
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2025
Certificate Expiration Date 8/16/2027
Facility Type Pharmacy
Lab Director RICHARD A. OPOKU

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