11D2034369 CLIA NUMBER - WALGREENS #07546

Laboratory Demographics

  • CLIA Code: 11D2034369
  • Facility Name: WALGREENS #07546
  • Facility Address: 2075 GRAYSON HIGHWAY
    GRAYSON, GA
    ZIP 30017
  • Facility Phone: 770 338-0881
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: OLADIPO ADEBISI
  • NPI Number: 1043225154
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2034369
LAB Type Pharmacy
Facility Name WALGREENS #07546
Street 2075 GRAYSON HIGHWAY
City GRAYSON
State GA
ZIP 30017
Phone 770 338-0881
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/26/2025
Certificate Expiration Date 7/25/2027
Facility Type Pharmacy
Lab Director OLADIPO ADEBISI

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