11D2034329 CLIA NUMBER - WALGREENS #02454

Laboratory Demographics

  • CLIA Code: 11D2034329
  • Facility Name: WALGREENS #02454
  • Facility Address: 3116HIGHWAY 34 E
    NEWNAN, GA
    ZIP 30265
  • Facility Phone: (678) 423-1549
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MAUREEN O. BRAND
  • NPI Number: 1609002294
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2034329
LAB Type Pharmacy
Facility Name WALGREENS #02454
Street 3116HIGHWAY 34 E
City NEWNAN
State GA
ZIP 30265
Phone 6784231549
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2025
Certificate Expiration Date 4/6/2027
Facility Type Pharmacy
Lab Director MAUREEN O. BRAND

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This page was last updated on: 5/18/2026