11D2034156 CLIA NUMBER - WALGREENS #07741

Laboratory Demographics

  • CLIA Code: 11D2034156
  • Facility Name: WALGREENS #07741
  • Facility Address: 2154 JOHNSON FERRY ROAD, NE
    ATLANTA, GA
    ZIP 30319
  • Facility Phone: 770 234-9839
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KEVIN D. CHATMON
  • NPI Number: 1770031049
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2034156
LAB Type Pharmacy
Facility Name WALGREENS #07741
Street 2154 JOHNSON FERRY ROAD, NE
City ATLANTA
State GA
ZIP 30319
Phone 770 234-9839
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/27/2025
Certificate Expiration Date 5/26/2027
Facility Type Pharmacy
Lab Director KEVIN D. CHATMON

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