11D2034239 CLIA NUMBER - WALGREENS#6999

Laboratory Demographics

  • CLIA Code: 11D2034239
  • Facility Name: WALGREENS#6999
  • Facility Address: 173 S MAIN STREET
    ALPHARETTA, GA
    ZIP 30004
  • Facility Phone: 678 297-9178
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BOYUN CHOI
  • NPI Number: 1760763015
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2034239
LAB Type Pharmacy
Facility Name WALGREENS#6999
Street 173 S MAIN STREET
City ALPHARETTA
State GA
ZIP 30004
Phone 678 297-9178
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2023
Certificate Expiration Date 10/11/2025
Facility Type Pharmacy
Lab Director BOYUN CHOI

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This page was last updated on: 6/4/2025