11D2034231 CLIA NUMBER - WALGREENS #05989

Laboratory Demographics

  • CLIA Code: 11D2034231
  • Facility Name: WALGREENS #05989
  • Facility Address: 2705 BUFORD HIGHWAY
    DULUTH, GA
    ZIP 30096
  • Facility Phone: 770 476-5363
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUH CHANHEE
  • NPI Number: 1104831304
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2034231
LAB Type Pharmacy
Facility Name WALGREENS #05989
Street 2705 BUFORD HIGHWAY
City DULUTH
State GA
ZIP 30096
Phone 770 476-5363
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2025
Certificate Expiration Date 7/12/2027
Facility Type Pharmacy
Lab Director SUH CHANHEE

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