11D2034224 CLIA NUMBER - WALGREENS#10248

Laboratory Demographics

  • CLIA Code: 11D2034224
  • Facility Name: WALGREENS#10248
  • Facility Address: 3505 CENTERVILLE HIGHWAY
    SNELLVILLE, GA
    ZIP 30039
  • Facility Phone: 770 736-2157
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TINA W. CHIANG
  • NPI Number: 1508992298
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2034224
LAB Type Pharmacy
Facility Name WALGREENS#10248
Street 3505 CENTERVILLE HIGHWAY
City SNELLVILLE
State GA
ZIP 30039
Phone 770 736-2157
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2025
Certificate Expiration Date 5/10/2027
Facility Type Pharmacy
Lab Director TINA W. CHIANG

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