11D2034171 CLIA NUMBER - WALGREENS 07167

Laboratory Demographics

  • CLIA Code: 11D2034171
  • Facility Name: WALGREENS 07167
  • Facility Address: 5511 CHAMBLEE DUNWOODY ROAD, SUITE A
    DUNWOODY, GA
    ZIP 30338
  • Facility Phone: (770) 671-9424
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STACY M. SWORUS
  • NPI Number: 1932114147
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2034171
LAB Type Pharmacy
Facility Name WALGREENS 07167
Street 5511 CHAMBLEE DUNWOODY ROAD, SUITE A
City DUNWOODY
State GA
ZIP 30338
Phone 7706719424
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2025
Certificate Expiration Date 8/10/2027
Facility Type Pharmacy
Lab Director STACY M. SWORUS

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This page was last updated on: 5/18/2026