11D2028708 CLIA NUMBER - WALGREENS #6207

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Laboratory Demographics

CLIA Number: 11D2028708

Facility Name: WALGREENS #6207

Facility Address:
5985 PEACHTREE PARKWAY
NORCROSS, GA
ZIP 30092
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Facility Phone Number: 678 421-9599

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1750396958

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	11D2028708
LAB Type	Pharmacy
Facility Name	WALGREENS #6207
Street	5985 PEACHTREE PARKWAY
City	NORCROSS
State	GA
ZIP	30092
Phone	678 421-9599
CertificateType	4
CertificateEffectiveDate	5/11/2023
CertificateExpirationDate	5/10/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024