11D2028690 CLIA NUMBER - WALGREENS 06032

Laboratory Demographics

  • CLIA Code: 11D2028690
  • Facility Name: WALGREENS 06032
  • Facility Address: 595 PIEDMONT AVENUE, NE, 100
    ATLANTA, GA
    ZIP 30308
  • Facility Phone: 404 685-9665
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KANAYO OMESUH
  • NPI Number: 1659386852
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2028690
LAB Type Pharmacy
Facility Name WALGREENS 06032
Street 595 PIEDMONT AVENUE, NE, 100
City ATLANTA
State GA
ZIP 30308
Phone 404 685-9665
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2025
Certificate Expiration Date 10/4/2027
Facility Type Pharmacy
Lab Director KANAYO OMESUH

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