11D2034226 CLIA NUMBER - WALGREENS #09451

Laboratory Demographics

  • CLIA Code: 11D2034226
  • Facility Name: WALGREENS #09451
  • Facility Address: 5510 WINDWARD PARKWAY
    ALPHARETTA, GA
    ZIP 30004
  • Facility Phone: 678 366-2118
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SALAM W. ASHKOURI
  • NPI Number: 1750398749
  • Taxonomy: 333600000X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/2/2025
Certificate Expiration Date 3/1/2027
Facility Type Pharmacy
Lab Director SALAM W. ASHKOURI

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