11D2034252 CLIA NUMBER - WALGREENS #9494

Laboratory Demographics

  • CLIA Code: 11D2034252
  • Facility Name: WALGREENS #9494
  • Facility Address: 4397 SUDDERTH ROAD
    SUGAR HILL, GA
    ZIP 30518
  • Facility Phone: 678 546-8442
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MINH L. TRINH
  • NPI Number: 1588865034
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2034252
LAB Type Pharmacy
Facility Name WALGREENS #9494
Street 4397 SUDDERTH ROAD
City SUGAR HILL
State GA
ZIP 30518
Phone 678 546-8442
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2025
Certificate Expiration Date 5/24/2027
Facility Type Pharmacy
Lab Director MINH L. TRINH

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