11D2034180 CLIA NUMBER - WALGREENS #06185

Laboratory Demographics

  • CLIA Code: 11D2034180
  • Facility Name: WALGREENS #06185
  • Facility Address: 2220 HEWATT ROAD
    SNELLVILLE, GA
    ZIP 30039
  • Facility Phone: 770 978-6276
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: YISA BRAY
  • NPI Number: 1215210935
  • Taxonomy: 261QC1500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2034180
LAB Type Pharmacy
Facility Name WALGREENS #06185
Street 2220 HEWATT ROAD
City SNELLVILLE
State GA
ZIP 30039
Phone 770 978-6276
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2025
Certificate Expiration Date 7/14/2027
Facility Type Pharmacy
Lab Director YISA BRAY

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