11D2028570 CLIA NUMBER - WALGREENS #07567

Laboratory Demographics

  • CLIA Code: 11D2028570
  • Facility Name: WALGREENS #07567
  • Facility Address: 1228 BATTLEFIELD PKWY
    FORT OGLETHORPE, GA
    ZIP 30742
  • Facility Phone: 706 861-7284
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RICHARD J. YONKATSKI
  • NPI Number: 1053326165
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2028570
LAB Type Pharmacy
Facility Name WALGREENS #07567
Street 1228 BATTLEFIELD PKWY
City FORT OGLETHORPE
State GA
ZIP 30742
Phone 706 861-7284
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2025
Certificate Expiration Date 10/12/2027
Facility Type Pharmacy
Lab Director RICHARD J. YONKATSKI

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