11D2028708 CLIA NUMBER - WALGREENS #6207

Laboratory Demographics

  • CLIA Code: 11D2028708
  • Facility Name: WALGREENS #6207
  • Facility Address: 5985 PEACHTREE PARKWAY
    NORCROSS, GA
    ZIP 30092
  • Facility Phone: 678 421-9599
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BENJAMIN A N. SEUGREN
  • NPI Number: 1750396958
  • Taxonomy: 333600000X - Pharmacy

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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
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 BENJAMIN A N. SEUGREN

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