11D2034226 CLIA NUMBER - WALGREENS #09451

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Laboratory Demographics

CLIA Number: 11D2034226

Facility Name: WALGREENS #09451

Facility Address:
5510 WINDWARD PARKWAY
ALPHARETTA, GA
ZIP 30004
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Facility Phone Number: 678 366-2118

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1750398749

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	11D2034226
LAB Type	Pharmacy
Facility Name	WALGREENS #09451
Street	5510 WINDWARD PARKWAY
City	ALPHARETTA
State	GA
ZIP	30004
Phone	678 366-2118
CertificateType	4
CertificateEffectiveDate	3/2/2023
CertificateExpirationDate	3/1/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024