11D2034213 CLIA NUMBER - WALGREENS #10632

Laboratory Demographics

  • CLIA Code: 11D2034213
  • Facility Name: WALGREENS #10632
  • Facility Address: 1602 N EXPRESSWAY
    GRIFFIN, GA
    ZIP 30223
  • Facility Phone: 770 227-3397
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STELLA GRIFFIN
  • NPI Number: 1093997983
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2034213
LAB Type Pharmacy
Facility Name WALGREENS #10632
Street 1602 N EXPRESSWAY
City GRIFFIN
State GA
ZIP 30223
Phone 770 227-3397
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2025
Certificate Expiration Date 5/25/2027
Facility Type Pharmacy
Lab Director STELLA GRIFFIN

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