11D2034157 CLIA NUMBER - WALGREENS #12811

Laboratory Demographics

  • CLIA Code: 11D2034157
  • Facility Name: WALGREENS #12811
  • Facility Address: 5963 SPOUT SPRINGS ROAD
    FLOWERY BRANCH, GA
    ZIP 30542
  • Facility Phone: 770 965-2371
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DEVAN W. PRESSLEY
  • NPI Number: 1952534455
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2034157
LAB Type Pharmacy
Facility Name WALGREENS #12811
Street 5963 SPOUT SPRINGS ROAD
City FLOWERY BRANCH
State GA
ZIP 30542
Phone 770 965-2371
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Pharmacy
Lab Director DEVAN W. PRESSLEY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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