11D2034181 CLIA NUMBER - WALGREENS #11994

Laboratory Demographics

  • CLIA Code: 11D2034181
  • Facility Name: WALGREENS #11994
  • Facility Address: 2225 E WALNUT AVENUE
    DALTON, GA
    ZIP 30721
  • Facility Phone: 706 260-2628
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHEILA C. WILSON
  • NPI Number: 1699935247
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2034181
LAB Type Pharmacy
Facility Name WALGREENS #11994
Street 2225 E WALNUT AVENUE
City DALTON
State GA
ZIP 30721
Phone 706 260-2628
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2025
Certificate Expiration Date 4/6/2027
Facility Type Pharmacy
Lab Director SHEILA C. WILSON

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