11D2029016 CLIA NUMBER - WALGREENS #05760

Laboratory Demographics

  • CLIA Code: 11D2029016
  • Facility Name: WALGREENS #05760
  • Facility Address: 3003 OLD ALABAMA ROAD
    ALPHARETTA, GA
    ZIP 30022
  • Facility Phone: 678 566-3284
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LELANA K. HOLMES
  • NPI Number: 1093722076
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2029016
LAB Type Pharmacy
Facility Name WALGREENS #05760
Street 3003 OLD ALABAMA ROAD
City ALPHARETTA
State GA
ZIP 30022
Phone 678 566-3284
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2025
Certificate Expiration Date 5/11/2027
Facility Type Pharmacy
Lab Director LELANA K. HOLMES

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