11D2034589 CLIA NUMBER - WALGREENS #9749

Laboratory Demographics

  • CLIA Code: 11D2034589
  • Facility Name: WALGREENS #9749
  • Facility Address: 950 TOWNE LAKE PARKWAY
    WOODSTOCK, GA
    ZIP 30189
  • Facility Phone: (770) 924-0172
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAYNA E. SIMPSON
  • NPI Number: 1770798308
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2034589
LAB Type Pharmacy
Facility Name WALGREENS #9749
Street 950 TOWNE LAKE PARKWAY
City WOODSTOCK
State GA
ZIP 30189
Phone 7709240172
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2025
Certificate Expiration Date 7/12/2027
Facility Type Pharmacy
Lab Director DAYNA E. SIMPSON

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