11D2034620 CLIA NUMBER - WALGREENS 10798

Laboratory Demographics

  • CLIA Code: 11D2034620
  • Facility Name: WALGREENS 10798
  • Facility Address: 1101 N 3RD AVENUE
    CHATSWORTH, GA
    ZIP 30705
  • Facility Phone: 706 517-1354
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PATRICK FLANAGAN
  • NPI Number: 1710192091
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2034620
LAB Type Pharmacy
Facility Name WALGREENS 10798
Street 1101 N 3RD AVENUE
City CHATSWORTH
State GA
ZIP 30705
Phone 706 517-1354
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2025
Certificate Expiration Date 8/15/2027
Facility Type Pharmacy
Lab Director PATRICK FLANAGAN

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