11D2036506 CLIA NUMBER - WALGREENS#07994

Laboratory Demographics

  • CLIA Code: 11D2036506
  • Facility Name: WALGREENS#07994
  • Facility Address: 2595 PEACHTREE PARKWAY
    CUMMING, GA
    ZIP 30041
  • Facility Phone: (678) 455-4544
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MITESH M. PATEL
  • NPI Number: 1538352588
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2036506
LAB Type Pharmacy
Facility Name WALGREENS#07994
Street 2595 PEACHTREE PARKWAY
City CUMMING
State GA
ZIP 30041
Phone 6784554544
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2025
Certificate Expiration Date 1/25/2027
Facility Type Pharmacy
Lab Director MITESH M. PATEL

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This page was last updated on: 5/15/2026