11D2028692 CLIA NUMBER - WALGREENS #5336

Laboratory Demographics

  • CLIA Code: 11D2028692
  • Facility Name: WALGREENS #5336
  • Facility Address: 5320 MEMORIAL DRIVE
    STONE MOUNTAIN, GA
    ZIP 30083
  • Facility Phone: 404 508-7166
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DARCI K. TURNER
  • NPI Number: 1023023223
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2028692
LAB Type Pharmacy
Facility Name WALGREENS #5336
Street 5320 MEMORIAL DRIVE
City STONE MOUNTAIN
State GA
ZIP 30083
Phone 404 508-7166
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2025
Certificate Expiration Date 5/10/2027
Facility Type Pharmacy
Lab Director DARCI K. TURNER

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