11D2034245 CLIA NUMBER - WALGREENS#10423

Laboratory Demographics

  • CLIA Code: 11D2034245
  • Facility Name: WALGREENS#10423
  • Facility Address: 3290 KEITH BRIDGE ROAD
    CUMMING, GA
    ZIP 30041
  • Facility Phone: 770 886-3202
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KELA C. QUINN
  • NPI Number: 1689861189
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2034245
LAB Type Pharmacy
Facility Name WALGREENS#10423
Street 3290 KEITH BRIDGE ROAD
City CUMMING
State GA
ZIP 30041
Phone 770 886-3202
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2025
Certificate Expiration Date 5/11/2027
Facility Type Pharmacy
Lab Director KELA C. QUINN

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