11D2028705 CLIA NUMBER - WALGREENS#7340

Laboratory Demographics

  • CLIA Code: 11D2028705
  • Facility Name: WALGREENS#7340
  • Facility Address: 120 MARIETTA HIGHWAY
    CANTON, GA
    ZIP 30114
  • Facility Phone: 678 880-0575
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARLA A. BANKS
  • NPI Number: 1023023231
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2028705
LAB Type Pharmacy
Facility Name WALGREENS#7340
Street 120 MARIETTA HIGHWAY
City CANTON
State GA
ZIP 30114
Phone 678 880-0575
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2025
Certificate Expiration Date 4/19/2027
Facility Type Pharmacy
Lab Director MARLA A. BANKS

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This page was last updated on: 6/4/2025