11D2034615 CLIA NUMBER - WALGREENS #6138

Laboratory Demographics

  • CLIA Code: 11D2034615
  • Facility Name: WALGREENS #6138
  • Facility Address: 2065 S HAIRSTON ROAD
    DECATUR, GA
    ZIP 30035
  • Facility Phone: 770 322-1290
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EFEMENA UNYOVE
  • NPI Number: 1104831312
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2034615
LAB Type Pharmacy
Facility Name WALGREENS #6138
Street 2065 S HAIRSTON ROAD
City DECATUR
State GA
ZIP 30035
Phone 770 322-1290
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2025
Certificate Expiration Date 7/19/2027
Facility Type Pharmacy
Lab Director EFEMENA UNYOVE

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